| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 31231 |
|
1,534 |
1,531 |
$273K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,783 |
1,780 |
$177K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,190 |
386 |
$145K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,414 |
1,551 |
$89K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,228 |
1,132 |
$84K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
351 |
351 |
$83K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
680 |
679 |
$46K |
| 92557 |
|
1,307 |
1,304 |
$39K |
| 92550 |
|
1,307 |
1,304 |
$17K |
| 31575 |
|
86 |
85 |
$10K |
| 95117 |
|
799 |
245 |
$8K |
| 69210 |
|
72 |
72 |
$2K |
| 92587 |
|
62 |
62 |
$2K |
| 92563 |
|
114 |
114 |
$2K |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
1,135 |
381 |
$117.04 |