| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
5,579 |
5,516 |
$1.07M |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
3,236 |
3,010 |
$316K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,043 |
3,026 |
$279K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,667 |
5,316 |
$269K |
| 95117 |
|
27,889 |
10,740 |
$189K |
| 95115 |
|
4,674 |
2,152 |
$24K |
| 94010 |
|
1,252 |
1,207 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
92 |
90 |
$7K |
| 99205 |
Prolong outpt/office vis |
51 |
51 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$600.20 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
15 |
$548.93 |
| 99443 |
|
17 |
17 |
$248.38 |
| 94760 |
|
6,762 |
6,000 |
$2.20 |