| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J2357 |
Injection, omalizumab, 5 mg |
660 |
463 |
$1.03M |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
7,324 |
3,699 |
$353K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,857 |
2,559 |
$99K |
| 94060 |
|
2,940 |
2,579 |
$93K |
| 95117 |
|
8,023 |
3,842 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,150 |
1,037 |
$54K |
| 95012 |
|
2,392 |
2,119 |
$21K |
| 96401 |
|
366 |
262 |
$21K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
107 |
101 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
847 |
495 |
$12K |
| 95024 |
|
108 |
102 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$988.84 |
| 99441 |
|
42 |
38 |
$396.62 |