| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
632 |
440 |
$136K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,043 |
897 |
$60K |
| 95117 |
|
5,105 |
2,190 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
301 |
270 |
$11K |
| 94010 |
|
474 |
434 |
$11K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
67 |
65 |
$8K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
55 |
54 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
60 |
56 |
$6K |
| 96401 |
|
30 |
24 |
$4K |
| 95012 |
|
273 |
258 |
$4K |
| 95115 |
|
382 |
155 |
$2K |