| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
520 |
491 |
$24K |
| 95117 |
|
1,600 |
813 |
$19K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
189 |
185 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
50 |
50 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
72 |
72 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
14 |
$801.42 |
| 94010 |
|
15 |
14 |
$227.85 |