| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,217 |
1,201 |
$70K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,296 |
1,283 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,107 |
1,050 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
708 |
651 |
$35K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
352 |
350 |
$32K |
| 94010 |
|
466 |
442 |
$7K |
| 95117 |
|
478 |
181 |
$4K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
39 |
37 |
$3K |
| 92567 |
|
107 |
107 |
$977.95 |