| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
6,467 |
2,280 |
$140K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,170 |
2,070 |
$110K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,270 |
1,323 |
$66K |
| 95117 |
|
6,373 |
2,280 |
$25K |
| 94200 |
|
2,556 |
1,038 |
$22K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
53 |
43 |
$8K |
| 95012 |
|
531 |
355 |
$4K |
| 94010 |
|
197 |
149 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
26 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20 |
19 |
$800.00 |
| 99072 |
|
27 |
26 |
$0.00 |