| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,013 |
1,013 |
$129K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
5,055 |
2,936 |
$106K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,151 |
1,135 |
$101K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
703 |
691 |
$57K |
| 95117 |
|
3,596 |
2,078 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
186 |
186 |
$16K |
| 95115 |
|
1,700 |
973 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
104 |
104 |
$6K |