| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J2357 |
Injection, omalizumab, 5 mg |
621 |
540 |
$1.32M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,956 |
1,937 |
$229K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,728 |
1,713 |
$137K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
423 |
407 |
$34K |
| 95117 |
|
2,776 |
1,482 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
934 |
813 |
$12K |
| 94010 |
|
12 |
12 |
$184.48 |