| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
9,031 |
5,597 |
$789K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
3,538 |
3,388 |
$426K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,389 |
4,868 |
$321K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
5,016 |
4,546 |
$292K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,234 |
5,428 |
$234K |
| 95117 |
|
27,603 |
14,503 |
$224K |
| 94010 |
|
2,786 |
2,502 |
$96K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
797 |
772 |
$59K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,856 |
2,467 |
$54K |
| J2357 |
Injection, omalizumab, 5 mg |
22 |
12 |
$46K |
| 95024 |
|
2,718 |
2,432 |
$46K |
| 95115 |
|
4,118 |
2,445 |
$25K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,736 |
1,381 |
$19K |
| 94060 |
|
297 |
276 |
$14K |
| 94726 |
|
217 |
204 |
$7K |
| 94729 |
|
196 |
188 |
$6K |
| 94664 |
|
186 |
163 |
$3K |
| 95125 |
|
271 |
154 |
$2K |
| 99243 |
|
13 |
13 |
$988.60 |