| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,621 |
4,084 |
$169K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,219 |
1,186 |
$85K |
| 95117 |
|
2,944 |
1,089 |
$35K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
354 |
348 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
339 |
317 |
$19K |
| 31575 |
|
388 |
357 |
$17K |
| 92557 |
|
297 |
280 |
$8K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
39 |
39 |
$6K |
| 95024 |
|
55 |
50 |
$6K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
56 |
51 |
$5K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
12 |
12 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
43 |
42 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$593.60 |
| 92567 |
|
58 |
55 |
$572.65 |
| 92504 |
|
14 |
13 |
$153.38 |