| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,588 |
1,523 |
$180K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,340 |
2,924 |
$150K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
849 |
775 |
$126K |
| 95117 |
|
7,772 |
3,662 |
$88K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
813 |
778 |
$62K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
311 |
299 |
$19K |
| 94010 |
|
703 |
655 |
$12K |
| 95012 |
|
749 |
706 |
$11K |
| 86003 |
|
68 |
62 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
52 |
50 |
$6K |
| 94060 |
|
172 |
168 |
$6K |
| 95024 |
|
83 |
82 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
29 |
$916.64 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
17 |
$153.98 |