| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,267 |
2,775 |
$175K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,065 |
1,061 |
$155K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,363 |
2,106 |
$145K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
524 |
465 |
$128K |
| 95117 |
|
7,491 |
3,215 |
$58K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
689 |
689 |
$56K |
| 99243 |
|
452 |
452 |
$38K |
| 94010 |
|
1,409 |
1,264 |
$37K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
12 |
12 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$125.58 |
| 94150 |
|
288 |
132 |
$85.20 |