| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,236 |
1,072 |
$384K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,293 |
1,191 |
$360K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,771 |
2,587 |
$201K |
| 95117 |
|
12,057 |
6,425 |
$115K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,156 |
1,055 |
$112K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
458 |
443 |
$89K |
| 95115 |
|
5,210 |
2,649 |
$44K |
| 95024 |
|
469 |
451 |
$38K |
| 94010 |
|
690 |
657 |
$23K |
| 94060 |
|
202 |
195 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
59 |
59 |
$10K |
| 99243 |
|
27 |
27 |
$4K |
| 94760 |
|
613 |
574 |
$952.75 |
| 94761 |
|
230 |
225 |
$588.79 |