| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
3,616 |
3,576 |
$575K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,605 |
10,106 |
$469K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
4,831 |
4,792 |
$417K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,205 |
3,194 |
$295K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,073 |
3,960 |
$256K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,829 |
3,813 |
$233K |
| J2357 |
Injection, omalizumab, 5 mg |
335 |
294 |
$209K |
| 95117 |
|
22,916 |
10,492 |
$143K |
| 95115 |
|
8,484 |
4,152 |
$44K |
| 94010 |
|
1,997 |
1,945 |
$34K |
| 95024 |
|
325 |
322 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,117 |
936 |
$10K |
| 96401 |
|
97 |
77 |
$7K |
| 94060 |
|
100 |
100 |
$2K |
| 1000F |
|
611 |
589 |
$0.00 |