| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,558 |
1,223 |
$317K |
| 95117 |
|
9,971 |
4,495 |
$96K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,506 |
1,344 |
$73K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
209 |
183 |
$27K |
| 94010 |
|
927 |
816 |
$18K |
| 95024 |
|
204 |
189 |
$17K |
| 96401 |
|
65 |
39 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
37 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
74 |
70 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
14 |
14 |
$2K |
| 94375 |
|
67 |
59 |
$1K |
| 94060 |
|
38 |
35 |
$1K |
| 96160 |
|
198 |
188 |
$971.49 |
| 94760 |
|
170 |
159 |
$609.70 |
| 95115 |
|
41 |
24 |
$313.58 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
68 |
61 |
$4.90 |