| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,581 |
2,048 |
$156K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,360 |
2,334 |
$120K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
40 |
38 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$1K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
13 |
13 |
$511.68 |
| 94060 |
|
29 |
25 |
$353.85 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
15 |
$234.75 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$107.91 |