| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
789 |
716 |
$126K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
401 |
389 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
517 |
489 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
584 |
547 |
$29K |
| 95117 |
|
2,818 |
1,103 |
$21K |
| 94375 |
|
483 |
463 |
$15K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
102 |
80 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
130 |
129 |
$10K |
| 96401 |
|
36 |
29 |
$3K |
| 95115 |
|
74 |
24 |
$698.27 |