| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95115 |
|
24,469 |
8,286 |
$224K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
3,454 |
3,185 |
$211K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
2,306 |
2,086 |
$199K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,088 |
3,462 |
$112K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
818 |
772 |
$62K |
| 94010 |
|
1,325 |
1,117 |
$27K |
| 99243 |
|
354 |
318 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
348 |
309 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
40 |
12 |
$208.71 |
| 90686 |
|
39 |
12 |
$189.28 |