| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
414 |
409 |
$72K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
811 |
805 |
$67K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,438 |
1,414 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
890 |
883 |
$40K |
| 31231 |
|
788 |
618 |
$32K |
| 95117 |
|
2,828 |
1,231 |
$20K |
| 69210 |
|
777 |
538 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
98 |
98 |
$5K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
13 |
13 |
$3K |
| 95115 |
|
31 |
12 |
$77.00 |
| 3074F |
|
295 |
288 |
$0.00 |
| 3008F |
|
405 |
398 |
$0.00 |
| 3079F |
|
17 |
17 |
$0.00 |
| 3078F |
|
252 |
248 |
$0.00 |