| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
701 |
140 |
$129K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,474 |
1,257 |
$75K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
294 |
280 |
$69K |
| 17110 |
|
204 |
169 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
195 |
171 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
127 |
115 |
$7K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
150 |
133 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
139 |
88 |
$5K |
| 11301 |
|
63 |
30 |
$4K |
| 95117 |
|
61 |
28 |
$467.94 |