| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
3,347 |
3,128 |
$280K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,611 |
1,527 |
$152K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,290 |
2,142 |
$142K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
680 |
652 |
$94K |
| 95117 |
|
6,438 |
3,942 |
$71K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
696 |
637 |
$62K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
179 |
144 |
$35K |
| 94010 |
|
955 |
885 |
$26K |
| 96401 |
|
42 |
36 |
$4K |
| 94060 |
|
60 |
58 |
$2K |
| 94375 |
|
67 |
66 |
$2K |
| 95115 |
|
128 |
65 |
$1K |
| 95024 |
|
26 |
26 |
$564.97 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$197.70 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
13 |
$130.08 |
| 90674 |
|
13 |
12 |
$127.32 |