| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
3,602 |
1,608 |
$164K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,934 |
1,211 |
$108K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
905 |
488 |
$93K |
| 95117 |
|
3,279 |
1,512 |
$35K |
| 94010 |
|
519 |
418 |
$14K |
| 99243 |
|
116 |
116 |
$11K |
| 94150 |
|
1,238 |
578 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
350 |
191 |
$7K |
| 94060 |
|
158 |
153 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
161 |
154 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19 |
17 |
$587.37 |
| 94726 |
|
12 |
12 |
$513.24 |