| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,944 |
1,378 |
$115K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,133 |
1,966 |
$82K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
363 |
331 |
$66K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
149 |
106 |
$20K |
| 95117 |
|
3,553 |
1,723 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
89 |
88 |
$7K |
| 94010 |
|
141 |
136 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44 |
44 |
$3K |
| 94016 |
|
74 |
72 |
$811.50 |
| 94726 |
|
13 |
12 |
$331.80 |
| 99457 |
|
12 |
12 |
$248.03 |
| 95012 |
|
16 |
16 |
$216.88 |
| 94375 |
|
124 |
114 |
$87.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
87 |
81 |
$82.50 |
| 99072 |
|
48 |
44 |
$0.00 |