| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,390 |
1,330 |
$152K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,569 |
2,343 |
$149K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,150 |
2,887 |
$122K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,203 |
1,125 |
$118K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
645 |
616 |
$73K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
701 |
685 |
$64K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,070 |
989 |
$62K |
| 95117 |
|
6,089 |
2,760 |
$58K |
| 99243 |
|
578 |
564 |
$38K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
183 |
89 |
$16K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
34 |
24 |
$4K |
| 92557 |
|
98 |
91 |
$3K |
| 92567 |
|
210 |
190 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
74 |
69 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
14 |
$501.00 |
| 92587 |
|
14 |
13 |
$440.00 |
| 69210 |
|
43 |
25 |
$402.40 |
| 99024 |
|
55 |
52 |
$0.00 |