| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,058 |
978 |
$88K |
| 95117 |
|
7,799 |
2,364 |
$86K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
346 |
312 |
$42K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
468 |
450 |
$35K |
| 94010 |
|
1,229 |
1,128 |
$33K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
256 |
227 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
124 |
120 |
$7K |
| 95024 |
|
12 |
12 |
$500.78 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
12 |
12 |
$125.63 |