| Code | Description | Claims | Beneficiaries | Total Paid |
| J2357 |
Injection, omalizumab, 5 mg |
1,290 |
947 |
$1.66M |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
6,356 |
3,389 |
$1.46M |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
3,931 |
3,426 |
$930K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
2,776 |
2,721 |
$403K |
| 95117 |
|
26,032 |
12,974 |
$254K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,086 |
1,983 |
$140K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,163 |
2,060 |
$103K |
| 96401 |
|
907 |
644 |
$91K |
| 99243 |
|
792 |
785 |
$81K |
| 95024 |
|
650 |
631 |
$35K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
798 |
557 |
$21K |
| 95115 |
|
1,727 |
841 |
$13K |
| 94060 |
|
15 |
15 |
$601.60 |
| 96160 |
|
241 |
239 |
$584.48 |
| 94664 |
|
16 |
15 |
$281.82 |