| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,943 |
1,528 |
$147K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,082 |
793 |
$45K |
| 95117 |
|
1,710 |
580 |
$12K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
71 |
58 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
90 |
79 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
49 |
42 |
$7K |
| 95115 |
|
583 |
190 |
$3K |
| 94010 |
|
77 |
53 |
$2K |
| 99072 |
|
50 |
20 |
$0.00 |