| Code | Description | Claims | Beneficiaries | Total Paid |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
161 |
28 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
298 |
255 |
$21K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
69 |
64 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
82 |
72 |
$10K |
| 99215 |
Prolong outpt/office vis |
31 |
25 |
$3K |
| 99401 |
|
50 |
46 |
$2K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
25 |
24 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
87 |
42 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
14 |
12 |
$726.44 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
55 |
46 |
$638.57 |
| 99406 |
|
14 |
12 |
$112.88 |
| 36415 |
Collection of venous blood by venipuncture |
20 |
12 |
$29.70 |