| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
362 |
336 |
$102K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
937 |
416 |
$42K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
489 |
468 |
$33K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
125 |
105 |
$31K |
| 99243 |
|
230 |
225 |
$28K |
| 95117 |
|
1,886 |
814 |
$19K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
77 |
75 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
108 |
106 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
322 |
150 |
$7K |
| 94010 |
|
96 |
92 |
$3K |
| 95024 |
|
13 |
13 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
15 |
$2K |
| A4210 |
Needle-free injection device, each |
48 |
41 |
$150.00 |
| A4617 |
Mouth piece |
41 |
40 |
$130.06 |