| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,074 |
1,715 |
$105K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
326 |
233 |
$55K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
349 |
278 |
$26K |
| 95117 |
|
2,120 |
891 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
50 |
40 |
$2K |
| 96160 |
|
859 |
558 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31 |
24 |
$1K |