| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
6,307 |
3,025 |
$1.35M |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
5,031 |
4,286 |
$744K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,185 |
4,773 |
$360K |
| 95117 |
|
34,172 |
13,759 |
$219K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,332 |
3,151 |
$169K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,481 |
1,456 |
$157K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,204 |
1,183 |
$92K |
| 94375 |
|
2,831 |
2,608 |
$62K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,745 |
1,626 |
$51K |
| 95180 |
|
267 |
164 |
$42K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,223 |
2,222 |
$38K |
| 95115 |
|
2,018 |
853 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
534 |
347 |
$7K |
| 99215 |
Prolong outpt/office vis |
53 |
52 |
$6K |
| 95024 |
|
43 |
42 |
$2K |
| 95076 |
|
30 |
24 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
43 |
42 |
$2K |
| 94060 |
|
31 |
29 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
351 |
339 |
$852.40 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
18 |
16 |
$96.46 |
| A4617 |
Mouth piece |
4,267 |
3,677 |
$52.69 |
| 94150 |
|
772 |
589 |
$21.00 |
| J2357 |
Injection, omalizumab, 5 mg |
96 |
84 |
$0.10 |