| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,223 |
4,080 |
$256K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,487 |
1,298 |
$205K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
914 |
894 |
$129K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,188 |
1,182 |
$118K |
| 95117 |
|
11,147 |
4,559 |
$103K |
| 94375 |
|
1,543 |
1,513 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
174 |
173 |
$8K |
| J2357 |
Injection, omalizumab, 5 mg |
17 |
12 |
$7K |
| 95115 |
|
463 |
180 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
33 |
25 |
$899.71 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$876.05 |