| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 31231 |
|
1,523 |
1,439 |
$178K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
872 |
870 |
$127K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,733 |
1,614 |
$111K |
| 41530 |
|
56 |
56 |
$90K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
628 |
619 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
984 |
936 |
$41K |
| 92588 |
|
639 |
634 |
$22K |
| 99243 |
|
218 |
214 |
$20K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
124 |
122 |
$15K |
| 31575 |
|
221 |
213 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
442 |
193 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
116 |
114 |
$7K |
| 95117 |
|
881 |
349 |
$7K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
42 |
42 |
$4K |
| 92567 |
|
304 |
297 |
$3K |
| 92557 |
|
94 |
93 |
$2K |
| 95115 |
|
226 |
116 |
$2K |
| 95024 |
|
31 |
27 |
$597.17 |
| 92579 |
|
29 |
24 |
$584.54 |
| 69210 |
|
12 |
12 |
$336.74 |