| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,877 |
1,226 |
$483K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,228 |
1,201 |
$105K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
441 |
440 |
$67K |
| 95117 |
|
4,793 |
2,848 |
$44K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
218 |
218 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
403 |
392 |
$24K |
| 96401 |
|
106 |
84 |
$7K |
| 94010 |
|
177 |
174 |
$5K |
| 95115 |
|
479 |
268 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
29 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
49 |
36 |
$896.92 |
| 95024 |
|
12 |
12 |
$672.04 |