| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
697 |
660 |
$126K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,104 |
1,100 |
$119K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,169 |
1,169 |
$72K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,445 |
1,378 |
$69K |
| 95117 |
|
4,700 |
2,037 |
$30K |
| 94010 |
|
683 |
662 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
88 |
88 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
27 |
$2K |
| 96160 |
|
397 |
387 |
$370.71 |