| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
573 |
536 |
$43K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
434 |
409 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
647 |
600 |
$35K |
| 95117 |
|
3,509 |
1,628 |
$30K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
161 |
157 |
$12K |
| 94010 |
|
115 |
108 |
$3K |
| 95115 |
|
371 |
188 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$2K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
14 |
12 |
$922.88 |