| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,960 |
1,717 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
785 |
698 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
566 |
519 |
$23K |
| 92567 |
|
1,572 |
1,439 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
229 |
213 |
$15K |
| 95117 |
|
3,419 |
2,240 |
$13K |
| 94010 |
|
289 |
269 |
$9K |
| 92557 |
|
188 |
173 |
$5K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
108 |
90 |
$4K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
42 |
41 |
$4K |
| 95012 |
|
148 |
132 |
$2K |
| 94726 |
|
47 |
40 |
$1K |
| 69210 |
|
129 |
119 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
57 |
48 |
$742.16 |
| 95115 |
|
134 |
89 |
$357.99 |
| V5266 |
Battery for use in hearing device |
29 |
27 |
$319.30 |