| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,957 |
1,887 |
$434K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
2,186 |
1,931 |
$404K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,547 |
3,124 |
$133K |
| 95024 |
|
1,065 |
818 |
$91K |
| 95117 |
|
15,032 |
6,419 |
$89K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,031 |
990 |
$71K |
| 99243 |
|
768 |
768 |
$65K |
| S8110 |
Peak expiratory flow rate (physician services) |
7,181 |
3,127 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27 |
27 |
$1K |
| 94060 |
|
28 |
28 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
69 |
69 |
$855.00 |
| 90688 |
|
46 |
46 |
$687.65 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
61 |
60 |
$526.79 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
61 |
60 |
$449.85 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
14 |
14 |
$13.00 |
| 99072 |
|
74 |
60 |
$0.00 |