| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,174 |
636 |
$105K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,307 |
1,268 |
$92K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
960 |
604 |
$57K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
339 |
336 |
$42K |
| 95117 |
|
2,635 |
1,423 |
$25K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
27 |
25 |
$4K |