| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
2,942 |
462 |
$551K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,384 |
1,010 |
$72K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
264 |
251 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
749 |
622 |
$55K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
429 |
174 |
$19K |
| 99215 |
Prolong outpt/office vis |
45 |
38 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
342 |
331 |
$1K |
| 92567 |
|
160 |
145 |
$591.15 |
| 95117 |
|
504 |
202 |
$153.36 |