| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
5,566 |
5,231 |
$895K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
6,008 |
5,515 |
$891K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,184 |
12,098 |
$754K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,913 |
18,741 |
$752K |
| 94010 |
|
13,480 |
12,703 |
$265K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,378 |
3,232 |
$194K |
| 95117 |
|
14,287 |
8,273 |
$120K |
| 94060 |
|
1,651 |
1,554 |
$58K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
594 |
573 |
$49K |
| 95115 |
|
6,744 |
4,071 |
$47K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,612 |
2,290 |
$14K |
| 96401 |
|
346 |
303 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
888 |
844 |
$11K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
2,446 |
2,258 |
$2K |
| 99051 |
|
160 |
150 |
$2K |
| 95012 |
|
96 |
93 |
$1K |
| 90686 |
|
723 |
660 |
$435.73 |
| 99050 |
|
31 |
25 |
$294.36 |
| 90688 |
|
13 |
12 |
$99.55 |
| 94760 |
|
71 |
52 |
$23.92 |
| A4617 |
Mouth piece |
43 |
42 |
$16.56 |
| C9399 |
Unclassified drugs or biologicals |
83 |
68 |
$0.00 |