| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,494 |
1,430 |
$54K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
428 |
420 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
125 |
122 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
350 |
160 |
$7K |
| 95117 |
|
1,245 |
622 |
$6K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
14 |
14 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$754.67 |
| 94010 |
|
17 |
13 |
$319.50 |