| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,901 |
4,896 |
$489K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
5,949 |
5,948 |
$471K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
3,727 |
3,718 |
$404K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,057 |
4,042 |
$293K |
| 95117 |
|
33,962 |
26,124 |
$284K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,930 |
1,930 |
$262K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
995 |
995 |
$93K |
| 95115 |
|
5,139 |
4,004 |
$37K |
| 94010 |
|
960 |
959 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
122 |
121 |
$6K |
| A4617 |
Mouth piece |
1,356 |
1,353 |
$5K |
| 94060 |
|
91 |
91 |
$3K |
| 70210 |
|
57 |
57 |
$1K |
| 95024 |
|
12 |
12 |
$1K |
| 70360 |
|
14 |
14 |
$353.85 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
13 |
$352.81 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
13 |
$303.87 |