| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
240 |
237 |
$69K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
178 |
177 |
$55K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
138 |
138 |
$12K |
| 95117 |
|
1,183 |
511 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
164 |
159 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
192 |
188 |
$7K |
| 94060 |
|
163 |
159 |
$6K |
| 95024 |
|
28 |
28 |
$2K |
| 95115 |
|
160 |
75 |
$1K |