| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,417 |
13,505 |
$353K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,237 |
383 |
$37K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,420 |
1,065 |
$20K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
1,171 |
286 |
$18K |
| 95115 |
|
11,193 |
1,821 |
$17K |
| 70220 |
|
1,936 |
911 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,032 |
582 |
$17K |
| 95117 |
|
7,669 |
1,082 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,419 |
558 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,269 |
1,182 |
$7K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
4,613 |
2,989 |
$6K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
153 |
54 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
337 |
131 |
$4K |
| 87276 |
|
815 |
283 |
$2K |
| 87275 |
|
801 |
281 |
$1K |
| 70486 |
|
267 |
194 |
$1K |
| 99215 |
Prolong outpt/office vis |
200 |
66 |
$1K |
| 92567 |
|
332 |
115 |
$644.77 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
95 |
42 |
$496.17 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
43 |
15 |
$149.90 |
| 69210 |
|
43 |
26 |
$40.34 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,324 |
496 |
$36.59 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
89 |
25 |
$1.41 |
| J1094 |
Injection, dexamethasone acetate, 1 mg |
414 |
186 |
$0.30 |
| 69990 |
|
821 |
235 |
$0.00 |
| 86318 |
|
48 |
12 |
$0.00 |