| Code | Description | Claims | Beneficiaries | Total Paid |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,686 |
1,405 |
$368K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,022 |
873 |
$195K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,910 |
1,791 |
$153K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,063 |
1,002 |
$113K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,597 |
1,502 |
$88K |
| 95117 |
|
10,092 |
3,763 |
$85K |
| 94010 |
|
2,333 |
2,217 |
$51K |
| 95024 |
|
215 |
174 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
114 |
110 |
$8K |
| 95115 |
|
497 |
198 |
$4K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
18 |
18 |
$190.43 |