| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
902 |
855 |
$190K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,515 |
1,389 |
$179K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
550 |
522 |
$124K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
768 |
727 |
$123K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
836 |
761 |
$60K |
| 96401 |
|
899 |
646 |
$59K |
| 95117 |
|
5,545 |
2,432 |
$53K |
| 94010 |
|
701 |
655 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
44 |
42 |
$4K |
| 94060 |
|
14 |
13 |
$562.25 |
| J3590 |
Unclassified biologics |
56 |
38 |
$0.00 |