| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
2,652 |
1,660 |
$101K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
936 |
879 |
$44K |
| 95117 |
|
6,218 |
3,412 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,040 |
984 |
$31K |
| 94375 |
|
980 |
934 |
$28K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
373 |
368 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
143 |
139 |
$12K |
| 96401 |
|
200 |
168 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$564.07 |
| 94060 |
|
14 |
13 |
$275.50 |
| 90756 |
|
26 |
26 |
$115.50 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$115.50 |