| Code | Description | Claims | Beneficiaries | Total Paid |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
724 |
447 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
634 |
442 |
$39K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
143 |
107 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
191 |
155 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39 |
28 |
$2K |
| 95117 |
|
214 |
75 |
$1K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
40 |
24 |
$0.00 |