| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,329 |
5,659 |
$349K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,528 |
3,312 |
$177K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
2,485 |
2,388 |
$171K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,693 |
2,475 |
$96K |
| 95115 |
|
15,112 |
5,223 |
$89K |
| 95117 |
|
6,738 |
2,444 |
$50K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
597 |
559 |
$43K |
| 31231 |
|
301 |
264 |
$23K |
| 92557 |
|
67 |
65 |
$2K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
12 |
12 |
$2K |
| 92567 |
|
125 |
121 |
$1K |