| Code | Description | Claims | Beneficiaries | Total Paid |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
319 |
267 |
$83K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
589 |
569 |
$59K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
228 |
225 |
$35K |
| 95117 |
|
1,939 |
855 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
112 |
111 |
$18K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
40 |
13 |
$11K |