| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95117 |
|
2,913 |
1,643 |
$26K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
203 |
199 |
$25K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
156 |
149 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
326 |
323 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
28 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
13 |
$764.58 |
| 94010 |
|
27 |
24 |
$503.00 |