| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95144 |
|
18,706 |
9,809 |
$52K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
2,761 |
2,755 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,015 |
3,008 |
$32K |
| 95117 |
|
12,978 |
7,423 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,796 |
4,667 |
$15K |
| 95115 |
|
13,205 |
7,149 |
$6K |
| 95012 |
|
1,336 |
1,329 |
$3K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,585 |
884 |
$863.15 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
12 |
$168.38 |
| A4617 |
Mouth piece |
14 |
14 |
$0.00 |