| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95117 |
|
3,664 |
1,843 |
$36K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
146 |
102 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
563 |
513 |
$17K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
17 |
16 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
25 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
47 |
37 |
$1K |