| Code | Description | Claims | Beneficiaries | Total Paid |
| 31231 |
|
759 |
746 |
$105K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,076 |
1,013 |
$97K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
637 |
636 |
$88K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
395 |
391 |
$50K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
44 |
44 |
$5K |
| 92553 |
|
115 |
114 |
$4K |
| 92550 |
|
182 |
181 |
$3K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
13 |
13 |
$2K |