| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
2,218 |
906 |
$60K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,842 |
1,110 |
$59K |
| 95117 |
|
2,649 |
1,078 |
$18K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
56 |
37 |
$5K |
| 99443 |
|
35 |
35 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$905.56 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
157 |
63 |
$711.52 |
| 99441 |
|
16 |
15 |
$409.22 |
| 99442 |
|
12 |
12 |
$391.16 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
29 |
28 |
$314.02 |
| 99072 |
|
88 |
69 |
$0.00 |
| 99000 |
|
18 |
15 |
$0.00 |