| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,188 |
2,921 |
$212K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
2,432 |
995 |
$165K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,765 |
2,320 |
$78K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,071 |
925 |
$67K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
158 |
150 |
$39K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
158 |
143 |
$18K |
| 42830 |
|
64 |
64 |
$9K |
| 95117 |
|
802 |
327 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
106 |
103 |
$5K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
26 |
26 |
$2K |
| 92579 |
|
97 |
88 |
$2K |
| 92587 |
|
16 |
15 |
$600.00 |
| 92557 |
|
13 |
13 |
$392.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
16 |
$248.77 |