| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
2,097 |
2,085 |
$256K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,109 |
646 |
$160K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,356 |
1,310 |
$91K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
634 |
632 |
$69K |
| 95117 |
|
9,787 |
6,259 |
$61K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,187 |
1,130 |
$50K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
249 |
249 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
68 |
50 |
$785.89 |
| 94375 |
|
48 |
29 |
$676.24 |
| 95024 |
|
13 |
13 |
$559.68 |