| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
2,368 |
1,202 |
$423K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,472 |
2,146 |
$106K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
735 |
581 |
$93K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,376 |
1,084 |
$79K |
| 95117 |
|
6,564 |
3,312 |
$40K |
| 31231 |
|
224 |
204 |
$23K |
| 94010 |
|
1,405 |
1,255 |
$22K |
| 94060 |
|
855 |
723 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
302 |
279 |
$16K |
| 94729 |
|
144 |
127 |
$3K |
| 94727 |
|
143 |
126 |
$3K |
| 86328 |
|
78 |
75 |
$3K |
| 95024 |
|
41 |
41 |
$1K |
| 90674 |
|
18 |
18 |
$426.04 |
| G0008 |
Administration of influenza virus vaccine |
25 |
25 |
$266.70 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
16 |
$140.70 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
15 |
$132.28 |
| 36415 |
Collection of venous blood by venipuncture |
82 |
77 |
$86.48 |