| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,092 |
1,958 |
$107K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,041 |
1,008 |
$77K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
407 |
404 |
$72K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
326 |
291 |
$40K |
| 95117 |
|
3,852 |
1,519 |
$32K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
144 |
143 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
121 |
107 |
$6K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
39 |
39 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$3K |
| 95115 |
|
221 |
89 |
$1K |
| 69210 |
|
58 |
46 |
$1K |
| 92567 |
|
83 |
80 |
$811.89 |