| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
320 |
316 |
$85K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
736 |
732 |
$58K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
351 |
341 |
$31K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
86 |
81 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
196 |
195 |
$25K |
| 95115 |
|
1,634 |
997 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
136 |
134 |
$11K |
| 99243 |
|
101 |
98 |
$11K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
37 |
37 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48 |
48 |
$3K |
| 95024 |
|
181 |
178 |
$2K |
| 31575 |
|
13 |
13 |
$1K |