| Code | Description | Claims | Beneficiaries | Total Paid |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
353 |
329 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
939 |
880 |
$35K |
| 95117 |
|
3,146 |
1,806 |
$28K |
| 99243 |
|
111 |
106 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
90 |
83 |
$4K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
71 |
27 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
60 |
58 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
30 |
26 |
$906.76 |