| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,166 |
1,163 |
$297K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,901 |
2,831 |
$253K |
| 99215 |
Prolong outpt/office vis |
1,447 |
1,401 |
$202K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
653 |
650 |
$81K |
| 95018 |
|
1,166 |
1,162 |
$36K |
| 99205 |
Prolong outpt/office vis |
171 |
171 |
$31K |
| 95076 |
|
300 |
300 |
$26K |
| 95117 |
|
2,714 |
989 |
$25K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
56 |
12 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24 |
24 |
$2K |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
25 |
12 |
$11.10 |