| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,193 |
1,125 |
$267K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,743 |
1,621 |
$189K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,138 |
2,002 |
$162K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
806 |
784 |
$93K |
| 94010 |
|
1,042 |
1,003 |
$16K |
| 95117 |
|
1,045 |
509 |
$10K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
240 |
193 |
$7K |
| 94060 |
|
185 |
177 |
$3K |
| G9432 |
Asthma well-controlled based on the act, c-act, acq, or ataq score and results documented |
45 |
44 |
$0.00 |
| G9521 |
Total number of emergency department visits and inpatient hospitalizations less than two in the past 12 months |
45 |
44 |
$0.00 |
| A4617 |
Mouth piece |
22 |
12 |
$0.00 |