| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
2,841 |
2,608 |
$522K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
3,006 |
2,727 |
$511K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,695 |
7,202 |
$359K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,455 |
2,414 |
$173K |
| 95117 |
|
20,409 |
8,717 |
$117K |
| 94010 |
|
1,852 |
1,694 |
$40K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
448 |
446 |
$38K |
| 95024 |
|
392 |
392 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
228 |
219 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
478 |
338 |
$4K |
| 94060 |
|
44 |
38 |
$2K |
| 96160 |
|
16 |
15 |
$38.39 |
| 94150 |
|
415 |
243 |
$0.00 |
| 94375 |
|
57 |
54 |
$0.00 |