| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,769 |
3,652 |
$191K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
510 |
453 |
$76K |
| 95117 |
|
2,666 |
1,249 |
$37K |
| 94010 |
|
1,572 |
1,528 |
$36K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
2,992 |
1,363 |
$23K |
| 95024 |
|
212 |
211 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
135 |
132 |
$12K |
| 95115 |
|
259 |
115 |
$3K |
| 95125 |
|
92 |
92 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
13 |
$492.48 |