| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,490 |
4,410 |
$250K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,572 |
1,417 |
$209K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,819 |
1,905 |
$102K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
530 |
448 |
$37K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
471 |
425 |
$36K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
209 |
208 |
$21K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
109 |
88 |
$9K |
| 94010 |
|
259 |
248 |
$6K |
| 99457 |
|
101 |
99 |
$3K |
| 99458 |
|
100 |
98 |
$2K |
| 99243 |
|
18 |
18 |
$1K |
| 94060 |
|
29 |
29 |
$1K |
| 95117 |
|
173 |
147 |
$939.69 |
| 94664 |
|
83 |
78 |
$912.68 |
| 99454 |
|
14 |
14 |
$529.72 |
| 95125 |
|
71 |
55 |
$501.05 |
| 99453 |
|
30 |
30 |
$221.17 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
14 |
$182.68 |
| 90688 |
|
12 |
12 |
$98.38 |