| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,696 |
1,658 |
$415K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,021 |
528 |
$315K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
1,163 |
1,138 |
$142K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,785 |
1,763 |
$84K |
| 95180 |
|
357 |
144 |
$65K |
| 95117 |
|
6,477 |
3,754 |
$56K |
| 94010 |
|
1,378 |
1,364 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
431 |
424 |
$15K |
| 95115 |
|
1,874 |
1,212 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
87 |
86 |
$4K |
| 94060 |
|
109 |
106 |
$3K |
| 99205 |
Prolong outpt/office vis |
25 |
25 |
$3K |