| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
764 |
536 |
$101K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,510 |
1,360 |
$84K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
917 |
833 |
$74K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
352 |
296 |
$44K |
| 95117 |
|
5,516 |
2,216 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
851 |
759 |
$36K |
| 95115 |
|
2,882 |
1,051 |
$16K |
| 94060 |
|
375 |
341 |
$15K |
| 94375 |
|
497 |
455 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
205 |
185 |
$13K |
| 95024 |
|
245 |
199 |
$8K |
| 95012 |
|
455 |
397 |
$5K |
| 94010 |
|
70 |
68 |
$2K |
| A4617 |
Mouth piece |
731 |
594 |
$1K |
| 96160 |
|
302 |
291 |
$447.28 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
17 |
13 |
$175.80 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
237 |
219 |
$23.63 |
| A4616 |
Tubing (oxygen), per foot |
429 |
354 |
$18.38 |