| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,923 |
3,914 |
$447K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,824 |
4,260 |
$398K |
| 31231 |
|
1,774 |
1,770 |
$355K |
| 31575 |
|
1,623 |
1,619 |
$203K |
| 30901 |
|
1,011 |
1,006 |
$149K |
| 30903 |
|
319 |
318 |
$78K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
279 |
273 |
$69K |
| 92557 |
|
737 |
737 |
$24K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
138 |
49 |
$24K |
| 92550 |
|
993 |
987 |
$19K |
| 69200 |
|
220 |
219 |
$18K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
388 |
144 |
$8K |
| 92553 |
|
141 |
140 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
83 |
76 |
$4K |
| 92587 |
|
29 |
29 |
$643.48 |
| 69210 |
|
15 |
15 |
$568.80 |
| 95117 |
|
24 |
12 |
$311.65 |