| Code | Description | Claims | Beneficiaries | Total Paid |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
4,998 |
2,813 |
$198K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,383 |
2,305 |
$162K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
547 |
547 |
$75K |
| 95117 |
|
5,548 |
3,164 |
$50K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
512 |
511 |
$45K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
101 |
101 |
$14K |