| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,661 |
1,527 |
$153K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,967 |
3,298 |
$132K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,105 |
902 |
$55K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
480 |
425 |
$44K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
651 |
554 |
$33K |
| 95115 |
|
1,959 |
699 |
$27K |
| 95117 |
|
2,265 |
722 |
$21K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
104 |
101 |
$19K |
| 31231 |
|
350 |
286 |
$17K |
| 92567 |
|
1,119 |
993 |
$17K |
| 92557 |
|
444 |
372 |
$13K |
| 31575 |
|
277 |
197 |
$9K |
| 92511 |
|
15 |
13 |
$719.04 |