| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
203 |
49 |
$55K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
36 |
31 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
197 |
187 |
$10K |
| 94010 |
|
185 |
171 |
$5K |
| 95117 |
|
549 |
253 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
61 |
56 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 94016 |
|
137 |
127 |
$764.97 |