| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
981 |
120 |
$247K |
| 90876 |
|
3,797 |
448 |
$203K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
182 |
84 |
$38K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
586 |
184 |
$34K |
| 97032 |
|
586 |
184 |
$19K |
| 98960 |
|
285 |
79 |
$14K |
| 97016 |
|
586 |
184 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
52 |
48 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
354 |
90 |
$7K |
| Q3014 |
Telehealth originating site facility fee |
284 |
79 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
21 |
20 |
$1K |
| 99205 |
Prolong outpt/office vis |
19 |
12 |
$268.12 |