| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J2357 |
Injection, omalizumab, 5 mg |
1,403 |
778 |
$2.23M |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
5,414 |
4,659 |
$799K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
2,094 |
1,672 |
$488K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,897 |
5,354 |
$459K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,766 |
5,391 |
$394K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,468 |
2,297 |
$280K |
| 96401 |
|
1,137 |
777 |
$132K |
| 95117 |
|
14,115 |
6,334 |
$106K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
644 |
608 |
$52K |
| 95024 |
|
766 |
712 |
$37K |
| 95180 |
|
191 |
67 |
$26K |
| 94010 |
|
392 |
356 |
$9K |
| 95012 |
|
535 |
486 |
$5K |