| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
2,434 |
1,806 |
$494K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,530 |
1,340 |
$253K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,864 |
4,156 |
$240K |
| 95117 |
|
16,955 |
8,669 |
$162K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,453 |
2,182 |
$94K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,040 |
931 |
$87K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
168 |
155 |
$10K |
| 94010 |
|
120 |
106 |
$2K |
| 95024 |
|
14 |
12 |
$689.43 |