| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,076 |
1,070 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,451 |
1,381 |
$44K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
390 |
388 |
$34K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
297 |
295 |
$34K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
227 |
220 |
$29K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
101 |
100 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
300 |
293 |
$14K |
| 92567 |
|
792 |
784 |
$10K |
| 95117 |
|
1,340 |
1,072 |
$9K |
| 92552 |
|
214 |
214 |
$2K |
| 92555 |
|
198 |
198 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
53 |
53 |
$1K |
| 95115 |
|
247 |
193 |
$763.97 |
| 92557 |
|
13 |
13 |
$350.90 |
| 92556 |
|
12 |
12 |
$198.00 |