| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
435 |
400 |
$42K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
269 |
253 |
$30K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
152 |
142 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
185 |
179 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
66 |
60 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
94 |
88 |
$9K |
| 94010 |
|
337 |
323 |
$7K |
| 95076 |
|
84 |
82 |
$4K |