| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95144 |
|
2,216 |
2,215 |
$298K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
998 |
995 |
$129K |
| 95115 |
|
17,997 |
7,130 |
$121K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,487 |
2,475 |
$99K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,564 |
1,563 |
$78K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
998 |
997 |
$65K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,101 |
1,087 |
$29K |
| 94010 |
|
747 |
655 |
$15K |
| 95117 |
|
3,061 |
1,462 |
$14K |
| 95024 |
|
428 |
426 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
529 |
305 |
$6K |
| 95044 |
|
12 |
12 |
$3K |
| 96401 |
|
148 |
77 |
$2K |