| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,023 |
1,697 |
$149K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,415 |
1,011 |
$66K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
2,343 |
1,105 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
949 |
437 |
$24K |
| 95117 |
|
2,163 |
964 |
$18K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
52 |
39 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
13 |
$1K |
| 90658 |
|
17 |
14 |
$252.31 |
| 3008F |
|
202 |
188 |
$0.00 |
| 3074F |
|
12 |
12 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
32 |
30 |
$0.00 |