| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,662 |
664 |
$171K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,835 |
1,653 |
$135K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,214 |
1,097 |
$119K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
695 |
607 |
$63K |
| 95117 |
|
4,917 |
2,499 |
$40K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
226 |
181 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
210 |
205 |
$24K |
| 95115 |
|
3,220 |
1,709 |
$22K |
| 94060 |
|
1,074 |
938 |
$7K |
| 94010 |
|
34 |
20 |
$153.90 |
| 94375 |
|
48 |
27 |
$113.91 |
| 96160 |
|
15 |
12 |
$0.00 |