| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,223 |
1,168 |
$160K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,885 |
1,762 |
$83K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
512 |
497 |
$70K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,325 |
1,274 |
$66K |
| 94010 |
|
1,574 |
1,453 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
455 |
432 |
$31K |
| 95117 |
|
6,995 |
3,028 |
$30K |
| 95012 |
|
466 |
433 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
68 |
68 |
$5K |
| 96401 |
|
46 |
36 |
$3K |
| 95024 |
|
15 |
15 |
$1K |
| 95115 |
|
65 |
24 |
$273.00 |