| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
416 |
236 |
$100K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
615 |
579 |
$46K |
| 95117 |
|
2,176 |
910 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
365 |
352 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
81 |
81 |
$9K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
42 |
41 |
$5K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
31 |
31 |
$4K |
| 94010 |
|
153 |
151 |
$4K |
| 95012 |
|
152 |
151 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$410.15 |
| 95115 |
|
62 |
24 |
$404.43 |