| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
3,705 |
3,679 |
$250K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,626 |
1,590 |
$249K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,186 |
2,179 |
$204K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
1,528 |
1,521 |
$151K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,902 |
2,859 |
$136K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,819 |
1,766 |
$113K |
| 95117 |
|
5,914 |
3,034 |
$37K |
| 94010 |
|
1,008 |
971 |
$17K |
| 95115 |
|
1,529 |
771 |
$8K |
| 96401 |
|
133 |
78 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
127 |
110 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$1K |
| 96160 |
|
402 |
397 |
$670.12 |