| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
246 |
245 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
157 |
156 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
438 |
429 |
$11K |
| 95117 |
|
1,397 |
1,135 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
183 |
177 |
$8K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
26 |
26 |
$3K |
| 95115 |
|
296 |
237 |
$996.64 |
| 31575 |
|
12 |
12 |
$834.90 |
| 92567 |
|
62 |
60 |
$745.43 |
| 92557 |
|
12 |
12 |
$290.68 |