| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 31231 |
|
4,698 |
4,577 |
$543K |
| 31295 |
|
425 |
334 |
$506K |
| 31298 |
|
140 |
119 |
$432K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,641 |
1,608 |
$325K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,993 |
2,954 |
$223K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,877 |
3,479 |
$177K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,467 |
2,198 |
$73K |
| 30130 |
|
295 |
208 |
$49K |
| 92570 |
|
936 |
910 |
$16K |
| 92557 |
|
622 |
605 |
$14K |
| 92588 |
|
464 |
443 |
$14K |
| 99243 |
|
124 |
124 |
$10K |
| 92556 |
|
478 |
473 |
$8K |
| 92552 |
|
479 |
474 |
$7K |
| 69210 |
|
424 |
392 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
473 |
402 |
$5K |
| 30930 |
|
65 |
65 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$653.38 |
| 92567 |
|
13 |
13 |
$151.76 |