| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,990 |
890 |
$66K |
| 95117 |
|
1,556 |
665 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
15 |
$653.48 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
14 |
$187.26 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
16 |
14 |
$89.45 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
16 |
14 |
$8.36 |