| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,722 |
5,844 |
$283K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,788 |
5,944 |
$195K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,764 |
1,658 |
$191K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,544 |
1,467 |
$109K |
| 31231 |
|
1,375 |
1,165 |
$103K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
354 |
347 |
$95K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
394 |
374 |
$54K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
154 |
153 |
$46K |
| 95117 |
|
2,684 |
1,520 |
$18K |
| 92567 |
|
2,779 |
2,432 |
$16K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
54 |
51 |
$10K |
| 30802 |
|
114 |
114 |
$9K |
| 92557 |
|
2,260 |
1,942 |
$3K |
| 92587 |
|
83 |
82 |
$3K |
| 69210 |
|
1,944 |
1,638 |
$3K |
| 31575 |
|
377 |
333 |
$2K |
| 92588 |
|
61 |
51 |
$0.00 |
| G0268 |
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing |
17 |
15 |
$0.00 |