| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
181 |
92 |
$29K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
93 |
82 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
141 |
135 |
$11K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
73 |
64 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
151 |
144 |
$8K |
| 95117 |
|
669 |
249 |
$6K |
| 95115 |
|
396 |
158 |
$3K |
| 94010 |
|
59 |
57 |
$1K |
| 94060 |
|
15 |
12 |
$533.20 |