| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,541 |
3,284 |
$276K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
2,571 |
2,255 |
$205K |
| 95117 |
|
18,024 |
8,782 |
$175K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,131 |
1,083 |
$137K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
718 |
678 |
$91K |
| 94010 |
|
1,629 |
1,500 |
$42K |
| 95024 |
|
1,743 |
1,537 |
$41K |
| 95115 |
|
4,648 |
2,210 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
452 |
362 |
$21K |
| 31231 |
|
54 |
52 |
$4K |
| 94060 |
|
71 |
57 |
$2K |
| 30140 |
|
12 |
12 |
$2K |
| 70486 |
|
14 |
14 |
$869.56 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
40 |
37 |
$802.71 |
| 99072 |
|
22 |
13 |
$10.50 |
| A4617 |
Mouth piece |
1,597 |
1,542 |
$2.59 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
12 |
12 |
$0.36 |
| 30117 |
|
12 |
12 |
$0.00 |