| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95117 |
|
5,697 |
2,489 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
520 |
433 |
$39K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
212 |
182 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
389 |
231 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
73 |
67 |
$8K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
23 |
12 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
57 |
49 |
$5K |
| 94010 |
|
32 |
27 |
$798.42 |
| 94375 |
|
18 |
15 |
$480.74 |
| 95012 |
|
26 |
24 |
$287.07 |
| 99072 |
|
58 |
42 |
$0.00 |