| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95144 |
|
260 |
247 |
$267K |
| J2357 |
Injection, omalizumab, 5 mg |
74 |
60 |
$187K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,383 |
1,094 |
$80K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
382 |
346 |
$69K |
| 95180 |
|
180 |
80 |
$42K |
| 95115 |
|
4,155 |
2,322 |
$35K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
337 |
334 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
676 |
534 |
$23K |
| 95117 |
|
677 |
360 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
100 |
98 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
385 |
192 |
$9K |