| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
799 |
642 |
$284K |
| 95117 |
|
8,503 |
5,476 |
$81K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
322 |
320 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
367 |
355 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
273 |
269 |
$22K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
127 |
124 |
$17K |
| 95115 |
|
995 |
622 |
$10K |
| 94010 |
|
12 |
12 |
$381.87 |