| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
7,613 |
7,014 |
$773K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,501 |
6,133 |
$614K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,398 |
7,986 |
$577K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
2,082 |
1,819 |
$279K |
| 95117 |
|
20,802 |
10,065 |
$213K |
| 96401 |
|
1,648 |
1,165 |
$84K |
| 95115 |
|
5,353 |
2,654 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
319 |
295 |
$31K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
54 |
52 |
$8K |
| 94010 |
|
439 |
393 |
$8K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$3K |
| 95076 |
|
31 |
29 |
$2K |
| J2357 |
Injection, omalizumab, 5 mg |
15 |
12 |
$0.00 |