| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
3,931 |
3,783 |
$516K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
2,119 |
1,914 |
$455K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,268 |
2,240 |
$276K |
| 95117 |
|
24,116 |
10,743 |
$186K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,003 |
1,957 |
$180K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,503 |
1,431 |
$85K |
| 95115 |
|
7,002 |
3,294 |
$46K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
103 |
103 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
17 |
$293.70 |