| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,402 |
2,161 |
$120K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,132 |
1,037 |
$81K |
| 95115 |
|
9,210 |
2,529 |
$74K |
| 94375 |
|
2,518 |
2,281 |
$56K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,386 |
1,281 |
$52K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
414 |
385 |
$40K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
16 |
16 |
$2K |