| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,492 |
2,308 |
$90K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
997 |
893 |
$84K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,001 |
718 |
$65K |
| 95117 |
|
5,516 |
3,277 |
$27K |
| 96401 |
|
463 |
331 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
120 |
116 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
128 |
125 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
470 |
274 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41 |
40 |
$2K |
| 94010 |
|
75 |
64 |
$1K |