| Code | Description | Claims | Beneficiaries | Total Paid |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
104 |
103 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
317 |
314 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
146 |
143 |
$15K |
| 94010 |
|
259 |
248 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
83 |
78 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
69 |
65 |
$2K |
| J2357 |
Injection, omalizumab, 5 mg |
27 |
25 |
$0.06 |