| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
33,652 |
14,672 |
$797K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,347 |
6,507 |
$472K |
| 95117 |
|
33,846 |
14,404 |
$350K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
2,486 |
2,369 |
$301K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,512 |
1,442 |
$228K |
| 99215 |
Prolong outpt/office vis |
202 |
155 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
102 |
101 |
$11K |
| 99205 |
Prolong outpt/office vis |
56 |
42 |
$9K |
| 95024 |
|
153 |
150 |
$8K |
| 95115 |
|
565 |
216 |
$4K |
| 94010 |
|
47 |
46 |
$949.96 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$677.19 |