| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
460 |
164 |
$172K |
| 95117 |
|
7,224 |
2,902 |
$66K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
300 |
281 |
$52K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
594 |
522 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
62 |
61 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
48 |
48 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42 |
40 |
$3K |
| 99457 |
|
93 |
83 |
$869.24 |
| 99458 |
|
50 |
46 |
$270.08 |