| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
961 |
869 |
$145K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
664 |
434 |
$113K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,851 |
2,518 |
$104K |
| 95117 |
|
8,563 |
4,179 |
$51K |
| 94010 |
|
1,258 |
1,112 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
204 |
192 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
116 |
105 |
$11K |
| 95024 |
|
113 |
102 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
46 |
40 |
$3K |
| 94375 |
|
41 |
39 |
$1K |
| 96160 |
|
439 |
399 |
$496.11 |
| 90688 |
|
16 |
14 |
$157.70 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$140.88 |