| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
2,348 |
2,287 |
$235K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,344 |
4,073 |
$190K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,505 |
1,455 |
$147K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,176 |
2,151 |
$132K |
| 95117 |
|
6,652 |
2,906 |
$39K |
| 94010 |
|
1,688 |
1,656 |
$29K |
| 95115 |
|
3,535 |
1,805 |
$18K |
| 94060 |
|
586 |
572 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
302 |
291 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
678 |
524 |
$7K |
| 96401 |
|
65 |
51 |
$4K |
| 95012 |
|
363 |
346 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$3K |
| 95024 |
|
13 |
13 |
$861.30 |
| 96160 |
|
532 |
530 |
$742.57 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$154.13 |
| 90688 |
|
13 |
13 |
$153.36 |
| 94664 |
|
19 |
19 |
$94.50 |
| 99072 |
|
124 |
121 |
$3.50 |
| 94760 |
|
1,894 |
1,840 |
$0.62 |