| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,484 |
1,403 |
$331K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,074 |
1,006 |
$166K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,949 |
1,747 |
$146K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
868 |
821 |
$105K |
| 95117 |
|
10,354 |
4,251 |
$98K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
332 |
323 |
$36K |
| 94010 |
|
828 |
774 |
$22K |
| 99243 |
|
41 |
41 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
56 |
50 |
$2K |
| 94060 |
|
20 |
17 |
$903.94 |
| 0072A |
|
12 |
12 |
$427.60 |
| 94664 |
|
23 |
19 |
$322.70 |
| 91307 |
|
14 |
14 |
$0.04 |
| 91300 |
|
29 |
26 |
$0.00 |