| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
2,429 |
1,990 |
$819K |
| 95117 |
|
26,134 |
10,854 |
$285K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,315 |
1,183 |
$193K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,286 |
2,178 |
$88K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
899 |
817 |
$79K |
| 95024 |
|
852 |
755 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
638 |
588 |
$36K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
247 |
231 |
$28K |
| 94010 |
|
611 |
580 |
$14K |
| 94060 |
|
254 |
225 |
$9K |
| 95012 |
|
857 |
783 |
$5K |
| 95115 |
|
443 |
203 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$905.26 |
| 90686 |
|
31 |
30 |
$363.22 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$80.30 |