| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
7,517 |
3,544 |
$530K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,655 |
2,410 |
$263K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
6,892 |
3,332 |
$135K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
963 |
936 |
$132K |
| 95117 |
|
7,439 |
3,518 |
$83K |
| 99205 |
Prolong outpt/office vis |
305 |
303 |
$61K |
| 94010 |
|
609 |
598 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
133 |
132 |
$18K |
| 99215 |
Prolong outpt/office vis |
58 |
56 |
$10K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
12 |
12 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18 |
17 |
$2K |
| 94664 |
|
39 |
39 |
$620.31 |