| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,033 |
2,983 |
$164K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
770 |
464 |
$151K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
933 |
930 |
$84K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
789 |
707 |
$43K |
| 95117 |
|
4,300 |
2,962 |
$35K |
| 94060 |
|
955 |
949 |
$20K |
| 95024 |
|
142 |
140 |
$14K |
| 96401 |
|
108 |
91 |
$12K |
| 94760 |
|
618 |
613 |
$1K |
| 99072 |
|
95 |
84 |
$1K |
| 95115 |
|
238 |
164 |
$995.45 |
| 96160 |
|
273 |
270 |
$911.44 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$462.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
16 |
$433.07 |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
16 |
13 |
$22.40 |
| J2357 |
Injection, omalizumab, 5 mg |
25 |
14 |
$0.00 |