| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,495 |
1,109 |
$107K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
140 |
114 |
$10K |
| 94010 |
|
262 |
247 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
94 |
77 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
82 |
58 |
$869.25 |
| 90688 |
|
89 |
63 |
$60.57 |
| J3490 |
Unclassified drugs |
14 |
12 |
$4.30 |
| 90686 |
|
42 |
25 |
$0.00 |