| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J2357 |
Injection, omalizumab, 5 mg |
462 |
325 |
$617K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
19,046 |
7,782 |
$478K |
| 95117 |
|
25,392 |
10,401 |
$210K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
965 |
883 |
$88K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,584 |
1,494 |
$62K |
| 96401 |
|
1,146 |
601 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
376 |
362 |
$21K |
| 99243 |
|
243 |
239 |
$12K |
| 94010 |
|
482 |
467 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
175 |
169 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
435 |
250 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
52 |
51 |
$4K |
| 95012 |
|
205 |
198 |
$2K |
| 95044 |
|
14 |
13 |
$2K |
| 3023F |
|
15 |
15 |
$0.00 |