| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,840 |
2,706 |
$192K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
668 |
652 |
$54K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,217 |
1,182 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
420 |
405 |
$17K |
| 94010 |
|
997 |
948 |
$16K |
| 95117 |
|
2,060 |
1,028 |
$10K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
13 |
12 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$147.46 |
| 90688 |
|
13 |
13 |
$126.40 |