| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,032 |
1,733 |
$124K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
871 |
815 |
$117K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
699 |
661 |
$101K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,484 |
2,157 |
$92K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,396 |
1,318 |
$88K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,881 |
1,713 |
$45K |
| 95115 |
|
4,309 |
1,800 |
$29K |
| 92587 |
|
1,092 |
935 |
$27K |
| 92567 |
|
1,824 |
1,664 |
$21K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
44 |
42 |
$8K |
| 42830 |
|
27 |
26 |
$3K |
| 69210 |
|
214 |
93 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
14 |
$2K |
| 92588 |
|
14 |
14 |
$683.90 |
| 95117 |
|
62 |
33 |
$562.98 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
151 |
110 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
79 |
54 |
$0.00 |
| 4040F |
|
30 |
25 |
$0.00 |
| 99024 |
|
162 |
145 |
$0.00 |
| 1036F |
|
17 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
15 |
12 |
$0.00 |