| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
8,620 |
5,599 |
$1.06M |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
11,886 |
7,781 |
$949K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,839 |
12,800 |
$700K |
| J2357 |
Injection, omalizumab, 5 mg |
318 |
268 |
$587K |
| 95117 |
|
74,879 |
31,007 |
$570K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,232 |
4,362 |
$323K |
| 95024 |
|
4,525 |
3,332 |
$169K |
| 94010 |
|
9,686 |
6,553 |
$128K |
| 94060 |
|
2,683 |
1,812 |
$61K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,008 |
809 |
$52K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,916 |
1,414 |
$43K |
| 96401 |
|
716 |
533 |
$29K |
| 95012 |
|
1,686 |
1,028 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
266 |
191 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
331 |
317 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,030 |
657 |
$9K |
| 95044 |
|
18 |
12 |
$3K |
| 95115 |
|
316 |
157 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
77 |
38 |
$587.86 |