| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,717 |
1,622 |
$147K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
939 |
882 |
$74K |
| 95117 |
|
9,208 |
3,294 |
$73K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
756 |
695 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
380 |
338 |
$18K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
70 |
66 |
$10K |