| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 31231 |
|
1,212 |
1,172 |
$296K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,635 |
4,134 |
$279K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,101 |
2,054 |
$211K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,677 |
1,642 |
$144K |
| 95115 |
|
10,744 |
4,940 |
$110K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
757 |
707 |
$75K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
246 |
244 |
$67K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
212 |
179 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
93 |
93 |
$13K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
38 |
37 |
$13K |
| 92567 |
|
1,653 |
1,544 |
$12K |
| 95024 |
|
30 |
26 |
$4K |
| 69200 |
|
15 |
13 |
$3K |
| 95117 |
|
104 |
51 |
$1K |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
8,841 |
4,118 |
$474.51 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
35 |
30 |
$57.48 |
| A4207 |
Syringe with needle, sterile 2 cc, each |
60 |
26 |
$0.00 |
| 92551 |
|
12 |
12 |
$0.00 |