| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,925 |
2,762 |
$99K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
571 |
560 |
$66K |
| J2357 |
Injection, omalizumab, 5 mg |
317 |
240 |
$53K |
| 95024 |
|
486 |
481 |
$49K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
932 |
921 |
$48K |
| 95117 |
|
4,681 |
2,641 |
$33K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
605 |
599 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
190 |
187 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
453 |
362 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
140 |
135 |
$7K |
| 96401 |
|
90 |
58 |
$2K |
| 94010 |
|
15 |
13 |
$198.00 |