| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,933 |
2,755 |
$404K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
2,180 |
1,500 |
$373K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,785 |
4,945 |
$329K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,441 |
2,889 |
$138K |
| 95117 |
|
11,841 |
5,183 |
$90K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
983 |
667 |
$65K |
| 92567 |
|
4,118 |
2,564 |
$14K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
65 |
63 |
$14K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
78 |
56 |
$8K |
| 92557 |
|
1,134 |
872 |
$6K |
| 31231 |
|
12 |
12 |
$3K |
| 92579 |
|
74 |
31 |
$677.78 |
| 31575 |
|
13 |
12 |
$542.15 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
16 |
$221.96 |
| 69210 |
|
20 |
12 |
$138.92 |
| 99072 |
|
104 |
93 |
$0.00 |