| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
4,792 |
1,059 |
$1.35M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,616 |
7,329 |
$468K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,091 |
915 |
$291K |
| 96401 |
|
2,505 |
1,808 |
$194K |
| 95117 |
|
17,680 |
7,068 |
$144K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,555 |
1,512 |
$131K |
| 94010 |
|
4,919 |
4,433 |
$108K |
| 94060 |
|
629 |
609 |
$22K |
| 95012 |
|
102 |
95 |
$1K |
| S8101 |
Holding chamber or spacer for use with an inhaler or nebulizer; with mask |
329 |
309 |
$1K |
| 90674 |
|
18 |
18 |
$274.36 |
| 94150 |
|
192 |
117 |
$161.43 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
18 |
$109.76 |
| 94761 |
|
500 |
349 |
$22.01 |
| 99072 |
|
22 |
19 |
$4.50 |
| J3590 |
Unclassified biologics |
1,342 |
900 |
$0.07 |
| J2357 |
Injection, omalizumab, 5 mg |
106 |
62 |
$0.03 |
| A4617 |
Mouth piece |
95 |
90 |
$0.00 |