| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
415 |
153 |
$76K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
743 |
720 |
$51K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
417 |
397 |
$35K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
264 |
259 |
$28K |
| 95117 |
|
1,646 |
852 |
$12K |
| 95115 |
|
599 |
330 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
203 |
155 |
$3K |
| 94010 |
|
157 |
126 |
$2K |
| 95024 |
|
26 |
25 |
$2K |
| 95076 |
|
14 |
14 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$951.97 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
15 |
$700.92 |