| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,278 |
1,237 |
$123K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,237 |
1,065 |
$68K |
| 95117 |
|
2,114 |
1,168 |
$17K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
45 |
41 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
28 |
$3K |
| 94060 |
|
29 |
25 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$1K |
| 95024 |
|
14 |
13 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
646 |
590 |
$793.32 |
| 90756 |
|
32 |
32 |
$782.35 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
52 |
49 |
$768.89 |
| 81025 |
|
137 |
104 |
$580.68 |
| 90674 |
|
18 |
18 |
$359.83 |
| 99442 |
|
13 |
12 |
$327.61 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
32 |
31 |
$290.07 |
| 81002 |
|
155 |
120 |
$269.84 |
| 94664 |
|
12 |
12 |
$96.69 |