| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
4,940 |
4,812 |
$413K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,817 |
3,687 |
$320K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,686 |
4,518 |
$249K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
758 |
616 |
$131K |
| 95117 |
|
18,229 |
13,504 |
$117K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,244 |
1,228 |
$99K |
| 94010 |
|
3,599 |
3,509 |
$62K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
551 |
539 |
$61K |
| J2357 |
Injection, omalizumab, 5 mg |
48 |
37 |
$55K |
| 95115 |
|
3,402 |
2,579 |
$18K |
| 94060 |
|
375 |
361 |
$11K |
| 96401 |
|
92 |
75 |
$6K |
| 89190 |
|
1,223 |
1,211 |
$6K |
| 96160 |
|
4,002 |
3,873 |
$6K |
| A4617 |
Mouth piece |
707 |
675 |
$699.53 |
| 95012 |
|
33 |
28 |
$307.44 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
35 |
24 |
$236.32 |
| 99072 |
|
6,966 |
6,118 |
$0.00 |