| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,851 |
2,143 |
$197K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
230 |
227 |
$66K |
| 95117 |
|
2,956 |
2,351 |
$33K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
67 |
67 |
$30K |
| 96401 |
|
104 |
83 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
148 |
135 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
126 |
126 |
$12K |
| 95024 |
|
39 |
39 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
29 |
$4K |
| 90674 |
|
25 |
25 |
$713.10 |
| 94060 |
|
12 |
12 |
$590.97 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
37 |
$467.32 |
| 95012 |
|
12 |
12 |
$216.26 |