| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,123 |
7,693 |
$407K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
3,111 |
3,018 |
$351K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
4,094 |
3,903 |
$338K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,147 |
2,073 |
$232K |
| 95117 |
|
12,949 |
10,881 |
$184K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,749 |
1,643 |
$133K |
| 95115 |
|
5,582 |
4,593 |
$57K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
234 |
229 |
$22K |
| 94010 |
|
234 |
221 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
375 |
329 |
$7K |
| 95012 |
|
312 |
299 |
$3K |
| J2357 |
Injection, omalizumab, 5 mg |
16 |
13 |
$1K |
| 94060 |
|
15 |
14 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
34 |
33 |
$880.01 |