| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
846 |
818 |
$197K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,111 |
1,087 |
$136K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
431 |
368 |
$115K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,885 |
1,830 |
$114K |
| 95117 |
|
5,969 |
2,532 |
$50K |
| 94010 |
|
1,738 |
1,565 |
$46K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
890 |
734 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
882 |
726 |
$28K |
| 94060 |
|
161 |
155 |
$8K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
161 |
157 |
$2K |
| J7612 |
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg |
51 |
47 |
$1.00 |
| J2357 |
Injection, omalizumab, 5 mg |
644 |
532 |
$0.48 |