| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,461 |
1,237 |
$220K |
| 99243 |
|
1,001 |
999 |
$77K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,637 |
1,363 |
$76K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
157 |
157 |
$34K |
| 95117 |
|
4,564 |
2,457 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
139 |
137 |
$10K |
| 95115 |
|
1,680 |
923 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
159 |
124 |
$7K |
| 99072 |
|
88 |
64 |
$0.00 |