| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,767 |
892 |
$91K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,243 |
721 |
$90K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,039 |
1,052 |
$74K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
58 |
57 |
$15K |
| 95117 |
|
1,456 |
544 |
$11K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
534 |
92 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
305 |
242 |
$4K |
| 94010 |
|
156 |
153 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19 |
18 |
$358.05 |
| 94060 |
|
13 |
12 |
$182.52 |