| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,521 |
9,089 |
$634K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
6,727 |
6,723 |
$619K |
| 31231 |
|
3,918 |
3,878 |
$418K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,532 |
3,411 |
$166K |
| 30520 |
|
347 |
344 |
$111K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
639 |
623 |
$108K |
| 31237 |
|
538 |
397 |
$108K |
| 95024 |
|
1,669 |
1,641 |
$103K |
| 31575 |
|
1,508 |
1,478 |
$96K |
| 69210 |
|
2,332 |
2,164 |
$60K |
| 95117 |
|
7,672 |
2,989 |
$51K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
458 |
456 |
$46K |
| 92557 |
|
1,755 |
1,753 |
$38K |
| 30140 |
|
422 |
420 |
$34K |
| 92567 |
|
2,599 |
2,553 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
321 |
318 |
$19K |
| 31267 |
|
103 |
103 |
$13K |
| 61782 |
|
127 |
127 |
$12K |
| 99223 |
Prolong inpt eval add15 m |
67 |
65 |
$7K |
| 31276 |
|
31 |
31 |
$5K |
| 31259 |
|
14 |
14 |
$5K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
25 |
25 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
72 |
71 |
$2K |
| 30930 |
|
52 |
51 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
58 |
58 |
$710.08 |