| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,077 |
1,922 |
$115K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
553 |
545 |
$92K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
860 |
810 |
$71K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
428 |
424 |
$58K |
| 95117 |
|
4,219 |
2,630 |
$56K |
| 94010 |
|
1,901 |
1,770 |
$53K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
116 |
109 |
$31K |
| 94200 |
|
862 |
584 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
86 |
77 |
$3K |
| 94664 |
|
12 |
12 |
$170.07 |
| J2357 |
Injection, omalizumab, 5 mg |
13 |
12 |
$0.00 |