| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,777 |
1,546 |
$248K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,099 |
1,968 |
$139K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,483 |
1,401 |
$122K |
| 95117 |
|
6,739 |
3,796 |
$61K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
618 |
580 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
482 |
462 |
$21K |
| 95115 |
|
2,501 |
1,380 |
$20K |
| 95012 |
|
800 |
754 |
$8K |
| 96401 |
|
201 |
154 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
47 |
43 |
$5K |
| 94010 |
|
107 |
100 |
$2K |
| 96160 |
|
186 |
179 |
$281.37 |
| A4617 |
Mouth piece |
79 |
73 |
$0.00 |
| 99072 |
|
15 |
13 |
$0.00 |