| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
90 |
89 |
$25K |
| 95117 |
|
795 |
501 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
93 |
87 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
25 |
$2K |
| 95024 |
|
16 |
12 |
$2K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
17 |
13 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$930.07 |
| 92557 |
|
12 |
12 |
$338.69 |