| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
3,778 |
3,483 |
$299K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,815 |
1,605 |
$160K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
737 |
712 |
$99K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,189 |
1,124 |
$82K |
| 95117 |
|
5,723 |
3,784 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
449 |
428 |
$47K |
| 94010 |
|
612 |
592 |
$14K |
| 94726 |
|
311 |
294 |
$12K |
| 94729 |
|
98 |
92 |
$4K |
| 95024 |
|
79 |
77 |
$2K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
13 |
12 |
$1K |
| 94060 |
|
13 |
13 |
$618.41 |
| 95012 |
|
112 |
106 |
$3.74 |