| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
912 |
756 |
$202K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,671 |
4,480 |
$194K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
434 |
346 |
$64K |
| 95115 |
|
9,220 |
3,030 |
$59K |
| 70220 |
|
2,033 |
1,659 |
$48K |
| 95117 |
|
5,571 |
1,831 |
$41K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
701 |
616 |
$26K |
| 99215 |
Prolong outpt/office vis |
147 |
129 |
$14K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
45 |
37 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
51 |
40 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
198 |
153 |
$4K |
| 70486 |
|
305 |
261 |
$3K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
835 |
652 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
85 |
75 |
$487.63 |
| 69990 |
|
41 |
37 |
$346.60 |
| 69210 |
|
34 |
25 |
$78.50 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
17 |
12 |
$0.49 |