| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
6,968 |
5,943 |
$582K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,561 |
1,289 |
$198K |
| 95117 |
|
8,643 |
2,730 |
$65K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,315 |
1,165 |
$39K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
143 |
123 |
$11K |
| 92567 |
|
973 |
837 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
161 |
145 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
239 |
189 |
$9K |
| 99205 |
Prolong outpt/office vis |
54 |
46 |
$5K |
| 99215 |
Prolong outpt/office vis |
73 |
58 |
$5K |
| 95115 |
|
203 |
87 |
$2K |
| 94010 |
|
58 |
52 |
$884.41 |
| 95024 |
|
12 |
12 |
$148.09 |