| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,011 |
1,001 |
$206K |
| 95117 |
|
6,571 |
3,414 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
301 |
299 |
$28K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
125 |
125 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
627 |
470 |
$9K |
| 94010 |
|
171 |
168 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
29 |
$4K |
| 99443 |
|
27 |
27 |
$2K |
| 95115 |
|
221 |
112 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$836.18 |
| 99442 |
|
12 |
12 |
$640.86 |
| 95024 |
|
12 |
12 |
$407.51 |
| 94760 |
|
465 |
450 |
$4.54 |