| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
8,349 |
2,592 |
$1.63M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,330 |
9,292 |
$814K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
7,099 |
6,469 |
$691K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,511 |
4,183 |
$552K |
| 95117 |
|
47,830 |
17,365 |
$544K |
| J2357 |
Injection, omalizumab, 5 mg |
164 |
115 |
$278K |
| 94375 |
|
4,720 |
4,342 |
$134K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,343 |
1,934 |
$124K |
| 95115 |
|
14,819 |
5,239 |
$112K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
901 |
828 |
$74K |
| 95024 |
|
1,305 |
1,183 |
$44K |
| 94010 |
|
1,291 |
1,148 |
$31K |
| 96401 |
|
332 |
253 |
$27K |
| 94060 |
|
397 |
376 |
$13K |
| 94760 |
|
1,543 |
1,369 |
$3K |