| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,511 |
1,349 |
$331K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,006 |
936 |
$134K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
409 |
296 |
$105K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
770 |
644 |
$64K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
732 |
634 |
$44K |
| 95117 |
|
4,589 |
2,202 |
$40K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
412 |
399 |
$39K |
| 95180 |
|
85 |
30 |
$7K |