| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
8,799 |
3,312 |
$302K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,403 |
2,396 |
$223K |
| 95117 |
|
8,757 |
3,302 |
$105K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,379 |
1,318 |
$75K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
2,464 |
2,359 |
$49K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
298 |
298 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
115 |
110 |
$6K |
| 95144 |
|
42 |
42 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
13 |
12 |
$166.27 |