| Code | Description | Claims | Beneficiaries | Total Paid |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,443 |
1,430 |
$258K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,935 |
3,672 |
$115K |
| 99243 |
|
977 |
956 |
$80K |
| 95115 |
|
6,455 |
3,156 |
$42K |
| 92567 |
|
3,422 |
3,329 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
710 |
661 |
$29K |
| 92579 |
|
718 |
705 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
482 |
445 |
$22K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
120 |
118 |
$14K |
| 95117 |
|
1,669 |
764 |
$12K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
74 |
62 |
$11K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
41 |
40 |
$8K |
| 92557 |
|
194 |
188 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
75 |
74 |
$2K |
| 92504 |
|
13 |
13 |
$275.16 |
| 92587 |
|
14 |
12 |
$153.94 |
| 99024 |
|
287 |
277 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
32 |
28 |
$0.00 |