| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,793 |
5,242 |
$217K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,570 |
1,279 |
$70K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
275 |
236 |
$43K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
472 |
352 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
681 |
524 |
$31K |
| 95117 |
|
1,567 |
645 |
$10K |
| 92557 |
|
649 |
502 |
$9K |
| 92567 |
|
1,204 |
891 |
$9K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
24 |
24 |
$4K |
| 99243 |
|
18 |
17 |
$2K |
| 92579 |
|
80 |
51 |
$1K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
33 |
24 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
162 |
129 |
$1K |
| 69210 |
|
24 |
12 |
$190.94 |