| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
923 |
864 |
$66K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
421 |
400 |
$46K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
341 |
330 |
$35K |
| 95115 |
|
6,464 |
4,059 |
$32K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
233 |
73 |
$32K |
| 95117 |
|
3,553 |
2,289 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
207 |
198 |
$11K |
| 94010 |
|
234 |
216 |
$4K |