| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
11,214 |
9,833 |
$766K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
6,801 |
6,799 |
$668K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,310 |
5,282 |
$478K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,533 |
2,533 |
$322K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,307 |
3,287 |
$207K |
| 95117 |
|
22,553 |
19,487 |
$191K |
| 95024 |
|
1,366 |
1,366 |
$177K |
| 94010 |
|
2,765 |
2,744 |
$62K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
426 |
426 |
$37K |
| 94664 |
|
3,563 |
3,559 |
$25K |
| 95115 |
|
1,455 |
1,232 |
$10K |
| 94060 |
|
210 |
210 |
$7K |
| 95012 |
|
208 |
205 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
19 |
$627.59 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
26 |
$474.80 |
| 90688 |
|
26 |
26 |
$204.48 |