| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
2,511 |
2,503 |
$176K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,096 |
2,056 |
$124K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
2,556 |
1,869 |
$119K |
| 95117 |
|
7,597 |
5,956 |
$71K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
497 |
496 |
$59K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
596 |
596 |
$47K |
| 95024 |
|
1,017 |
1,015 |
$36K |
| 94010 |
|
747 |
742 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
67 |
67 |
$7K |
| 94664 |
|
14 |
14 |
$139.35 |
| 95115 |
|
16 |
12 |
$126.14 |