| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
2,360 |
2,226 |
$275K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
8,777 |
4,344 |
$237K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,268 |
2,081 |
$165K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,193 |
1,117 |
$126K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,882 |
1,705 |
$91K |
| 95117 |
|
9,253 |
4,554 |
$83K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
323 |
303 |
$22K |
| 94010 |
|
913 |
830 |
$20K |
| 99457 |
|
486 |
451 |
$16K |
| 94726 |
|
375 |
350 |
$14K |
| 95012 |
|
447 |
405 |
$7K |
| 96401 |
|
96 |
76 |
$4K |
| 99458 |
|
108 |
99 |
$3K |
| A4617 |
Mouth piece |
350 |
319 |
$611.38 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
24 |
12 |
$315.56 |