| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,945 |
1,597 |
$124K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
427 |
323 |
$23K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
698 |
296 |
$13K |
| 95180 |
|
56 |
25 |
$4K |
| 94150 |
|
189 |
73 |
$3K |
| 95012 |
|
131 |
120 |
$2K |
| 94375 |
|
68 |
66 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
14 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
63 |
63 |
$769.06 |
| S8110 |
Peak expiratory flow rate (physician services) |
48 |
28 |
$486.00 |
| 90674 |
|
18 |
18 |
$430.19 |