| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95117 |
|
4,038 |
1,535 |
$32K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
253 |
241 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
105 |
96 |
$9K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
27 |
27 |
$7K |
| 94010 |
|
232 |
206 |
$6K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
50 |
47 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43 |
41 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 99072 |
|
14 |
13 |
$0.00 |