| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
497 |
466 |
$103K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
907 |
819 |
$59K |
| 95024 |
|
431 |
395 |
$49K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
571 |
526 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
844 |
792 |
$40K |
| 95117 |
|
4,062 |
1,644 |
$27K |
| 95115 |
|
2,106 |
851 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
48 |
45 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
26 |
$2K |