| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
445 |
420 |
$92K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
734 |
681 |
$75K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
98 |
97 |
$49K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
35 |
28 |
$7K |
| 95117 |
|
108 |
54 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$558.80 |
| 30802 |
|
12 |
12 |
$360.01 |
| 99024 |
|
28 |
24 |
$0.00 |