| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
4,534 |
3,429 |
$640K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,282 |
4,499 |
$310K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,892 |
1,821 |
$231K |
| 95117 |
|
22,667 |
10,388 |
$171K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,546 |
1,462 |
$146K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
845 |
834 |
$109K |
| 95115 |
|
13,217 |
6,064 |
$86K |
| 94010 |
|
2,752 |
2,454 |
$56K |
| 95180 |
|
94 |
52 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
39 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
157 |
120 |
$1K |
| 99457 |
|
27 |
25 |
$931.18 |
| 95024 |
|
12 |
12 |
$178.74 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$29.90 |
| 96160 |
|
375 |
361 |
$0.00 |