| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
2,604 |
1,482 |
$108K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,259 |
1,093 |
$49K |
| 95117 |
|
5,865 |
2,871 |
$37K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
163 |
135 |
$6K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
30 |
29 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
46 |
40 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
52 |
50 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
79 |
62 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
70 |
60 |
$698.75 |
| 94664 |
|
32 |
30 |
$300.25 |
| 90686 |
|
20 |
16 |
$225.56 |
| 95012 |
|
16 |
14 |
$216.87 |