| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,794 |
1,741 |
$198K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,890 |
1,805 |
$176K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
815 |
803 |
$113K |
| 95117 |
|
10,546 |
7,609 |
$88K |
| 99205 |
Prolong outpt/office vis |
482 |
475 |
$85K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
79 |
42 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
287 |
275 |
$20K |
| 94375 |
|
14 |
14 |
$263.13 |
| 94010 |
|
12 |
12 |
$261.84 |