| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
10,500 |
6,040 |
$414K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,064 |
1,021 |
$124K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
686 |
669 |
$58K |
| 95117 |
|
10,183 |
5,822 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
484 |
447 |
$21K |
| 99401 |
|
730 |
701 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
237 |
224 |
$14K |
| 95024 |
|
41 |
41 |
$4K |
| 94010 |
|
78 |
77 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
12 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
25 |
$988.26 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
13 |
$162.44 |