| Code | Description | Claims | Bene. Records | Total Paid |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
468 |
455 |
$65K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
247 |
239 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
213 |
207 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
49 |
49 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
70 |
68 |
$5K |
| 95117 |
|
673 |
372 |
$4K |
| 95115 |
|
664 |
429 |
$3K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$2K |