| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J2357 |
Injection, omalizumab, 5 mg |
130 |
109 |
$96K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,116 |
843 |
$50K |
| 95117 |
|
6,486 |
2,954 |
$41K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
282 |
160 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
535 |
512 |
$37K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
310 |
300 |
$31K |
| 99205 |
Prolong outpt/office vis |
178 |
177 |
$21K |
| 94375 |
|
261 |
251 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
387 |
331 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
65 |
65 |
$4K |
| 95012 |
|
348 |
332 |
$4K |
| 99457 |
|
84 |
55 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$1K |
| 99458 |
|
51 |
33 |
$1K |
| 96160 |
|
132 |
124 |
$83.92 |
| 99072 |
|
817 |
702 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,405 |
1,972 |
$0.00 |
| A4617 |
Mouth piece |
189 |
179 |
$0.00 |