| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,128 |
1,035 |
$61K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
125 |
121 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
81 |
81 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| 95117 |
|
169 |
79 |
$1K |
| 89190 |
|
275 |
260 |
$877.49 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
12 |
$859.49 |
| 95115 |
|
33 |
13 |
$240.23 |