| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,130 |
957 |
$172K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,284 |
1,058 |
$162K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,286 |
2,918 |
$105K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,892 |
1,663 |
$85K |
| 95117 |
|
6,082 |
2,519 |
$46K |
| 96401 |
|
1,462 |
1,025 |
$42K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
483 |
418 |
$37K |
| 94010 |
|
858 |
811 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
226 |
195 |
$11K |
| 95115 |
|
1,168 |
416 |
$7K |
| 95012 |
|
369 |
345 |
$4K |
| 94060 |
|
41 |
39 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
25 |
$1K |
| A4617 |
Mouth piece |
99 |
93 |
$0.46 |