| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
685 |
611 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
117 |
114 |
$7K |
| 92567 |
|
175 |
170 |
$2K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
12 |
12 |
$2K |
| 92588 |
|
50 |
48 |
$1K |
| 92557 |
|
33 |
32 |
$948.09 |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
13 |
$626.75 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$309.40 |