| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
119 |
68 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
235 |
140 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18 |
15 |
$2K |
| 95117 |
|
557 |
154 |
$1K |
| 31231 |
|
18 |
12 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
82 |
58 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49 |
28 |
$813.02 |
| 92570 |
|
105 |
69 |
$708.09 |
| 92588 |
|
16 |
14 |
$247.50 |
| 92557 |
|
18 |
15 |
$218.67 |
| 94010 |
|
37 |
27 |
$180.59 |