| Code | Description | Claims | Beneficiaries | Total Paid |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
5,925 |
4,444 |
$1.26M |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
2,452 |
2,359 |
$437K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,625 |
7,383 |
$366K |
| 95117 |
|
28,525 |
15,745 |
$263K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
942 |
905 |
$94K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,191 |
1,155 |
$79K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
256 |
250 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,145 |
871 |
$17K |
| 94060 |
|
117 |
115 |
$5K |
| 96401 |
|
16 |
12 |
$2K |
| 94200 |
|
69 |
51 |
$985.11 |