| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,034 |
1,017 |
$288K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
746 |
561 |
$132K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,930 |
1,619 |
$68K |
| 95117 |
|
8,537 |
4,236 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
568 |
534 |
$31K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
274 |
265 |
$29K |
| 94010 |
|
840 |
749 |
$14K |
| 92567 |
|
662 |
606 |
$5K |
| 95018 |
|
188 |
111 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
209 |
175 |
$2K |
| 92512 |
|
38 |
27 |
$668.06 |
| 95012 |
|
26 |
24 |
$361.27 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
19 |
19 |
$135.44 |
| 94375 |
|
567 |
508 |
$75.28 |