| Code | Description | Claims | Beneficiaries | Total Paid |
| 31231 |
|
1,216 |
1,137 |
$118K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,933 |
1,815 |
$90K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
264 |
241 |
$36K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
319 |
311 |
$19K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
117 |
115 |
$14K |
| 92567 |
|
1,652 |
1,524 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
123 |
114 |
$9K |
| 92587 |
|
251 |
238 |
$3K |
| 92552 |
|
164 |
154 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
58 |
56 |
$2K |
| 92557 |
|
44 |
39 |
$996.99 |
| 69210 |
|
18 |
17 |
$478.77 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
31 |
31 |
$401.12 |
| 92504 |
|
12 |
12 |
$232.91 |