| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,625 |
1,574 |
$207K |
| 95117 |
|
7,811 |
4,909 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
518 |
483 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
244 |
235 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
593 |
568 |
$20K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
265 |
260 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
64 |
59 |
$3K |
| 95115 |
|
60 |
36 |
$231.00 |