| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
6,601 |
4,913 |
$1.08M |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
21,587 |
9,876 |
$730K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,033 |
7,864 |
$327K |
| 95117 |
|
24,351 |
10,652 |
$170K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,191 |
2,130 |
$158K |
| 95024 |
|
1,528 |
1,453 |
$84K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
757 |
735 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
848 |
806 |
$40K |
| 94070 |
|
617 |
596 |
$27K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
133 |
89 |
$943.58 |
| 99000 |
|
29 |
27 |
$15.00 |
| J3490 |
Unclassified drugs |
20 |
12 |
$10.00 |