| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
92 |
53 |
$17K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
40 |
40 |
$6K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
30 |
30 |
$4K |
| 95117 |
|
256 |
133 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31 |
31 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
49 |
49 |
$2K |
| 95115 |
|
109 |
44 |
$651.82 |