| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
4,358 |
4,227 |
$1.25M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,548 |
6,386 |
$484K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
2,530 |
2,392 |
$441K |
| 95117 |
|
22,350 |
11,256 |
$228K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,762 |
1,752 |
$216K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,812 |
1,661 |
$156K |
| 94010 |
|
2,821 |
2,536 |
$68K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
410 |
409 |
$37K |
| 95012 |
|
1,971 |
1,781 |
$24K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,339 |
1,059 |
$16K |
| 96401 |
|
151 |
130 |
$9K |
| 94664 |
|
248 |
230 |
$3K |
| 99457 |
|
95 |
78 |
$3K |
| 95024 |
|
15 |
15 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
56 |
53 |
$2K |
| 99443 |
|
12 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
54 |
53 |
$853.52 |
| 90682 |
|
13 |
13 |
$780.00 |
| A4617 |
Mouth piece |
1,150 |
1,051 |
$724.11 |
| 96160 |
|
402 |
377 |
$705.26 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
17 |
15 |
$610.21 |
| 99454 |
|
27 |
25 |
$541.57 |
| 90688 |
|
17 |
17 |
$245.37 |
| 86328 |
|
19 |
18 |
$196.48 |
| 99453 |
|
13 |
13 |
$150.49 |
| 36416 |
|
19 |
18 |
$31.50 |
| 99070 |
|
704 |
641 |
$29.13 |
| 94760 |
|
90 |
73 |
$7.46 |
| J2357 |
Injection, omalizumab, 5 mg |
216 |
197 |
$0.35 |
| J3590 |
Unclassified biologics |
93 |
70 |
$0.01 |