| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
516 |
409 |
$22K |
| 95117 |
|
855 |
509 |
$6K |
| 94010 |
|
240 |
190 |
$3K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
122 |
91 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
45 |
40 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$553.68 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$370.56 |