| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
3,182 |
3,135 |
$724K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
14,856 |
8,110 |
$435K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,271 |
2,261 |
$227K |
| 95117 |
|
14,764 |
8,068 |
$154K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,515 |
1,420 |
$71K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
764 |
715 |
$52K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
675 |
673 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
154 |
147 |
$18K |
| 95024 |
|
175 |
164 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
67 |
67 |
$9K |
| 95115 |
|
19 |
13 |
$155.15 |