| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
170 |
162 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
248 |
227 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
121 |
112 |
$8K |
| 95117 |
|
1,005 |
637 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
45 |
45 |
$5K |
| 94010 |
|
95 |
89 |
$2K |
| 95012 |
|
59 |
54 |
$499.92 |
| 94664 |
|
49 |
45 |
$447.27 |
| 90688 |
|
13 |
13 |
$172.53 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$161.52 |
| A4617 |
Mouth piece |
69 |
64 |
$88.90 |
| 96160 |
|
30 |
29 |
$30.93 |
| 99070 |
|
60 |
52 |
$4.50 |