| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
801 |
603 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
237 |
210 |
$8K |
| 99385 |
|
68 |
68 |
$6K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
14 |
14 |
$3K |
| 95018 |
|
14 |
14 |
$2K |
| 95076 |
|
13 |
13 |
$1K |
| 93000 |
|
151 |
149 |
$408.03 |
| 81002 |
|
30 |
29 |
$12.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
52 |
51 |
$10.00 |