| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95144 |
|
1,064 |
421 |
$265K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
9,537 |
4,263 |
$183K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
624 |
569 |
$65K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,654 |
1,419 |
$59K |
| 95199 |
|
237 |
118 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
402 |
381 |
$28K |
| 95117 |
|
2,213 |
812 |
$21K |
| 96401 |
|
269 |
228 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
266 |
264 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
133 |
133 |
$8K |
| 94375 |
|
36 |
26 |
$1K |
| 94150 |
|
43 |
32 |
$419.25 |
| A4617 |
Mouth piece |
55 |
40 |
$11.12 |