| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
2,652 |
2,418 |
$226K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,518 |
1,305 |
$148K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,202 |
1,020 |
$83K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,024 |
1,838 |
$64K |
| 94010 |
|
662 |
585 |
$17K |
| 95115 |
|
2,058 |
809 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
59 |
56 |
$4K |
| 95117 |
|
92 |
37 |
$860.64 |