| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J2357 |
Injection, omalizumab, 5 mg |
1,218 |
482 |
$1.65M |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
6,624 |
3,082 |
$252K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,469 |
1,188 |
$138K |
| 95117 |
|
17,899 |
6,987 |
$121K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,499 |
1,287 |
$52K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
696 |
604 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
449 |
404 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
541 |
485 |
$26K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,755 |
576 |
$20K |
| 94010 |
|
643 |
565 |
$11K |
| 3023F |
|
99 |
88 |
$0.00 |