| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
8,369 |
7,832 |
$1.03M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
7,550 |
7,427 |
$478K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,922 |
9,540 |
$468K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,720 |
1,703 |
$250K |
| 95117 |
|
14,393 |
6,275 |
$95K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,237 |
1,228 |
$85K |
| 95024 |
|
1,963 |
1,952 |
$74K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
374 |
356 |
$42K |
| 94010 |
|
2,190 |
2,182 |
$37K |
| 95115 |
|
4,938 |
2,254 |
$26K |
| 94060 |
|
313 |
280 |
$12K |
| 94664 |
|
199 |
197 |
$2K |