| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
6,967 |
6,636 |
$1.41M |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,655 |
1,101 |
$594K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,888 |
5,867 |
$522K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,940 |
3,659 |
$243K |
| 95117 |
|
15,196 |
6,922 |
$142K |
| 95024 |
|
645 |
645 |
$88K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
992 |
975 |
$81K |
| 94010 |
|
2,484 |
2,384 |
$65K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
185 |
184 |
$24K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
194 |
186 |
$4K |
| 96160 |
|
968 |
933 |
$2K |
| 95012 |
|
20 |
19 |
$366.15 |
| 98960 |
|
14 |
14 |
$60.00 |
| A4617 |
Mouth piece |
21 |
20 |
$30.00 |