| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
2,695 |
1,042 |
$684K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,862 |
3,631 |
$619K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
3,666 |
3,464 |
$503K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,774 |
5,857 |
$439K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,879 |
4,236 |
$380K |
| 95117 |
|
43,971 |
25,684 |
$289K |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
19,114 |
12,295 |
$96K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
777 |
739 |
$77K |
| 96401 |
|
224 |
151 |
$29K |
| J2357 |
Injection, omalizumab, 5 mg |
16 |
12 |
$25K |
| S8110 |
Peak expiratory flow rate (physician services) |
1,335 |
946 |
$14K |
| 95115 |
|
1,724 |
932 |
$9K |
| 94060 |
|
390 |
360 |
$7K |
| 95024 |
|
191 |
178 |
$4K |
| 94664 |
|
590 |
537 |
$3K |
| 94010 |
|
339 |
310 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
186 |
101 |
$786.97 |
| 94760 |
|
294 |
235 |
$144.85 |
| 94016 |
|
12 |
12 |
$59.50 |
| 96160 |
|
75 |
62 |
$53.86 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
165 |
153 |
$27.94 |