| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
17,942 |
8,190 |
$1.03M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,490 |
6,730 |
$716K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
3,720 |
2,322 |
$359K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,097 |
1,843 |
$226K |
| 95117 |
|
17,346 |
7,858 |
$200K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,589 |
1,587 |
$170K |
| 31231 |
|
504 |
467 |
$89K |
| 94010 |
|
3,076 |
2,626 |
$82K |
| 94060 |
|
1,462 |
1,419 |
$63K |
| 94726 |
|
932 |
931 |
$42K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
243 |
243 |
$40K |
| J2357 |
Injection, omalizumab, 5 mg |
19 |
12 |
$33K |
| 94150 |
|
8,797 |
4,240 |
$31K |
| 94729 |
|
556 |
555 |
$27K |
| 95024 |
|
329 |
329 |
$19K |
| 92557 |
|
556 |
525 |
$18K |
| 92587 |
|
678 |
629 |
$17K |
| 92567 |
|
535 |
490 |
$8K |
| 31575 |
|
58 |
55 |
$7K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,495 |
1,452 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
246 |
139 |
$4K |
| 92550 |
|
185 |
179 |
$3K |
| 99072 |
|
7,463 |
3,548 |
$2K |
| 99243 |
|
13 |
13 |
$1K |
| 86328 |
|
15 |
15 |
$426.51 |
| 69210 |
|
12 |
12 |
$324.43 |
| 99050 |
|
34 |
27 |
$148.88 |