| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
853 |
843 |
$254K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
2,612 |
1,391 |
$204K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,495 |
1,809 |
$149K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,645 |
1,295 |
$101K |
| 95117 |
|
2,821 |
1,560 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
232 |
232 |
$22K |
| 99243 |
|
119 |
118 |
$12K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
80 |
80 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
73 |
68 |
$6K |
| 95115 |
|
504 |
189 |
$4K |
| 94060 |
|
44 |
44 |
$2K |
| 94729 |
|
44 |
44 |
$2K |
| 94727 |
|
44 |
44 |
$1K |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
3,239 |
1,618 |
$1K |
| 95024 |
|
13 |
13 |
$890.88 |
| 94200 |
|
44 |
44 |
$806.15 |
| 94664 |
|
44 |
44 |
$550.76 |