| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,108 |
360 |
$241K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,392 |
2,039 |
$130K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
741 |
615 |
$85K |
| 95117 |
|
11,092 |
4,678 |
$82K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
545 |
476 |
$71K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
646 |
599 |
$47K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
269 |
245 |
$37K |
| 99243 |
|
78 |
60 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
21 |
15 |
$2K |
| 99442 |
|
40 |
26 |
$1K |
| 95115 |
|
86 |
38 |
$626.98 |
| 94664 |
|
13 |
12 |
$122.43 |