| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,712 |
6,619 |
$329K |
| 95144 |
|
214 |
56 |
$80K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
555 |
496 |
$37K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
129 |
129 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
83 |
83 |
$7K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
35 |
35 |
$3K |
| 0011A |
|
80 |
71 |
$3K |
| 0003A |
|
83 |
77 |
$3K |
| 0012A |
|
67 |
66 |
$3K |
| 0013A |
|
49 |
49 |
$2K |
| 0001A |
|
42 |
41 |
$2K |
| 0002A |
|
38 |
38 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
86 |
76 |
$1K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
49 |
46 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
13 |
$570.74 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$158.94 |
| 81025 |
|
43 |
42 |
$105.78 |
| 81002 |
|
34 |
34 |
$88.40 |