| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
871 |
839 |
$187K |
| 95117 |
|
13,580 |
4,882 |
$116K |
| 86003 |
|
2,295 |
382 |
$110K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,693 |
1,411 |
$29K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
465 |
434 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
595 |
523 |
$16K |
| 95024 |
|
669 |
627 |
$7K |
| 95115 |
|
919 |
367 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
107 |
95 |
$5K |
| 82785 |
|
103 |
100 |
$2K |
| 92504 |
|
417 |
288 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
182 |
152 |
$1K |
| 92567 |
|
49 |
41 |
$442.69 |
| 99201 |
|
16 |
16 |
$285.38 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
45 |
42 |
$61.21 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
81 |
74 |
$22.01 |