| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
7,610 |
6,464 |
$1.07M |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
5,119 |
4,325 |
$915K |
| 95117 |
|
50,088 |
17,694 |
$349K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,599 |
2,988 |
$273K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,968 |
4,154 |
$167K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,015 |
1,684 |
$102K |
| 95024 |
|
1,579 |
1,371 |
$72K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,364 |
1,114 |
$66K |
| 95115 |
|
8,813 |
3,232 |
$52K |
| 94010 |
|
504 |
427 |
$9K |
| 96401 |
|
196 |
142 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
211 |
195 |
$5K |
| 95012 |
|
305 |
256 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
12 |
$70.58 |
| J2357 |
Injection, omalizumab, 5 mg |
162 |
120 |
$0.00 |