| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
14,047 |
5,952 |
$831K |
| 95117 |
|
12,468 |
4,973 |
$142K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
354 |
328 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
40 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38 |
36 |
$4K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
36 |
36 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
33 |
33 |
$400.11 |
| 90688 |
|
18 |
18 |
$302.89 |