| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
578 |
542 |
$63K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,715 |
972 |
$35K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
300 |
187 |
$31K |
| 95117 |
|
754 |
406 |
$8K |
| 99215 |
Prolong outpt/office vis |
40 |
39 |
$6K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
18 |
16 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
28 |
$1K |