| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 94060 |
|
3,857 |
3,746 |
$177K |
| 95144 |
|
2,339 |
413 |
$161K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,287 |
2,216 |
$150K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
310 |
309 |
$102K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
929 |
909 |
$93K |
| 95117 |
|
9,127 |
2,774 |
$85K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
755 |
211 |
$57K |
| 99215 |
Prolong outpt/office vis |
199 |
188 |
$26K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,083 |
1,363 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
170 |
170 |
$17K |