| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
2,951 |
1,874 |
$497K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,540 |
3,112 |
$237K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,431 |
1,404 |
$218K |
| 95117 |
|
15,280 |
6,587 |
$150K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
627 |
552 |
$58K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
294 |
293 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
183 |
182 |
$26K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
554 |
477 |
$12K |
| 95018 |
|
315 |
297 |
$6K |
| 94060 |
|
13 |
13 |
$594.55 |
| 96160 |
|
25 |
25 |
$56.60 |
| A4617 |
Mouth piece |
13 |
13 |
$1.20 |