| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
3,545 |
3,311 |
$417K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
2,045 |
2,022 |
$254K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,163 |
4,831 |
$248K |
| 95117 |
|
23,677 |
10,677 |
$151K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,855 |
1,836 |
$140K |
| 95018 |
|
3,772 |
3,469 |
$140K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
890 |
880 |
$104K |
| 95024 |
|
784 |
763 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
696 |
684 |
$53K |
| 95115 |
|
4,620 |
2,219 |
$28K |
| 94375 |
|
1,239 |
815 |
$18K |
| 99443 |
|
619 |
594 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,091 |
591 |
$11K |
| 0012A |
|
114 |
114 |
$3K |
| 0011A |
|
116 |
116 |
$3K |
| 0064A |
|
55 |
55 |
$1K |
| 94060 |
|
42 |
25 |
$1K |
| 94010 |
|
35 |
26 |
$556.05 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
13 |
$514.08 |
| 99441 |
|
14 |
14 |
$107.70 |
| 91306 |
|
52 |
52 |
$0.00 |
| 91301 |
|
235 |
229 |
$0.00 |