| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
4,850 |
2,871 |
$1.19M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,999 |
5,505 |
$376K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,639 |
1,596 |
$220K |
| 95117 |
|
23,229 |
9,235 |
$206K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,344 |
1,293 |
$128K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,315 |
2,173 |
$91K |
| 95115 |
|
11,759 |
4,830 |
$88K |
| 94375 |
|
314 |
304 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
57 |
57 |
$4K |
| 94060 |
|
13 |
13 |
$447.08 |
| 95012 |
|
47 |
47 |
$328.80 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
12 |
$170.01 |
| 94760 |
|
323 |
299 |
$123.38 |