| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,663 |
2,369 |
$90K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
550 |
506 |
$50K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
588 |
560 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
634 |
566 |
$32K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
45 |
40 |
$10K |
| 95115 |
|
803 |
297 |
$7K |
| 95117 |
|
342 |
129 |
$4K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
15 |
14 |
$3K |
| 92557 |
|
97 |
91 |
$2K |
| 92567 |
|
162 |
153 |
$2K |
| 69210 |
|
34 |
30 |
$1K |