| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95117 |
|
10,791 |
5,334 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
399 |
388 |
$31K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
527 |
511 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
122 |
120 |
$11K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
18 |
12 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25 |
25 |
$2K |
| 95012 |
|
12 |
12 |
$159.03 |