| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,408 |
1,403 |
$329K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,804 |
1,598 |
$254K |
| 95117 |
|
11,503 |
5,709 |
$195K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,421 |
3,184 |
$149K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
264 |
264 |
$30K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
374 |
371 |
$30K |
| 95024 |
|
283 |
282 |
$29K |
| 94060 |
|
502 |
500 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
214 |
207 |
$14K |
| 95012 |
|
313 |
310 |
$5K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
12 |
12 |
$2K |
| 94010 |
|
12 |
12 |
$347.88 |