| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,653 |
434 |
$600K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
806 |
756 |
$523K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,042 |
1,502 |
$271K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,592 |
2,479 |
$235K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,744 |
1,584 |
$127K |
| 99243 |
|
316 |
303 |
$45K |
| 30802 |
|
342 |
221 |
$45K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
47 |
46 |
$12K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
40 |
39 |
$6K |
| 95018 |
|
551 |
526 |
$4K |
| 95076 |
|
333 |
328 |
$2K |
| 69210 |
|
15 |
15 |
$168.55 |