| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
350 |
133 |
$115K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,047 |
912 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
650 |
510 |
$42K |
| 95117 |
|
2,854 |
1,517 |
$22K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
112 |
101 |
$21K |
| 94010 |
|
652 |
583 |
$10K |
| 94060 |
|
92 |
78 |
$3K |
| 86328 |
|
30 |
29 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$965.64 |
| G0008 |
Administration of influenza virus vaccine |
36 |
36 |
$468.18 |
| 90674 |
|
17 |
17 |
$386.40 |
| 36415 |
Collection of venous blood by venipuncture |
31 |
30 |
$45.09 |