| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,478 |
1,336 |
$117K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
490 |
461 |
$55K |
| 95117 |
|
5,391 |
2,614 |
$48K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
735 |
657 |
$39K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
391 |
356 |
$38K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
136 |
131 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
124 |
115 |
$8K |
| 94010 |
|
234 |
213 |
$6K |
| 95115 |
|
557 |
311 |
$4K |
| 96160 |
|
1,203 |
1,052 |
$2K |
| 94060 |
|
19 |
15 |
$712.70 |
| 95012 |
|
36 |
29 |
$494.79 |
| A4617 |
Mouth piece |
52 |
41 |
$97.60 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
38 |
20 |
$61.22 |
| 99072 |
|
89 |
78 |
$0.00 |