| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
3,416 |
3,350 |
$197K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,703 |
4,535 |
$147K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,274 |
652 |
$70K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,138 |
1,135 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,006 |
990 |
$43K |
| 95115 |
|
12,681 |
5,109 |
$42K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,194 |
1,177 |
$31K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
435 |
269 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
312 |
311 |
$25K |
| 69210 |
|
1,176 |
1,161 |
$18K |
| 92567 |
|
1,379 |
1,331 |
$16K |
| 69620 |
|
40 |
26 |
$9K |
| 92552 |
|
774 |
758 |
$6K |
| 31575 |
|
70 |
69 |
$4K |
| 95117 |
|
637 |
282 |
$3K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
12 |
12 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
91 |
90 |
$2K |
| 92553 |
|
62 |
61 |
$734.85 |