| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95115 |
|
7,958 |
3,678 |
$239K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,064 |
1,026 |
$100K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
171 |
122 |
$41K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
35 |
34 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
240 |
218 |
$11K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
13 |
13 |
$2K |
| 94150 |
|
575 |
538 |
$634.98 |
| 95012 |
|
12 |
12 |
$0.00 |
| A4617 |
Mouth piece |
25 |
25 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$0.00 |