| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
25,883 |
24,017 |
$2.02M |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
11,059 |
8,963 |
$1.56M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,712 |
16,269 |
$474K |
| J2357 |
Injection, omalizumab, 5 mg |
330 |
244 |
$425K |
| 95115 |
|
32,288 |
15,736 |
$262K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
2,076 |
1,616 |
$197K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,610 |
2,052 |
$195K |
| 94060 |
|
4,592 |
3,491 |
$142K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,493 |
3,054 |
$132K |
| 94010 |
|
8,633 |
7,773 |
$126K |
| 95117 |
|
10,418 |
4,958 |
$116K |
| 99243 |
|
1,457 |
1,122 |
$97K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,228 |
1,113 |
$75K |
| 95012 |
|
4,421 |
3,648 |
$35K |
| 96401 |
|
492 |
337 |
$30K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
521 |
491 |
$24K |
| 94664 |
|
2,767 |
2,154 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,573 |
951 |
$18K |
| 99242 |
|
259 |
247 |
$16K |
| 99245 |
|
57 |
50 |
$8K |
| 95024 |
|
271 |
196 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
367 |
330 |
$7K |
| 69210 |
|
15 |
15 |
$338.78 |
| J3590 |
Unclassified biologics |
93 |
62 |
$0.21 |