| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
242 |
224 |
$87K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
107 |
102 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
446 |
417 |
$35K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
158 |
151 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
182 |
179 |
$22K |
| 95117 |
|
1,561 |
766 |
$15K |
| 94010 |
|
178 |
173 |
$6K |
| 95115 |
|
594 |
312 |
$6K |
| 95024 |
|
60 |
60 |
$3K |
| 94060 |
|
16 |
16 |
$899.58 |
| 94760 |
|
171 |
166 |
$287.25 |
| 94761 |
|
16 |
16 |
$53.20 |