| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
5,342 |
2,376 |
$1.11M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,507 |
14,914 |
$609K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,621 |
6,911 |
$415K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,926 |
6,432 |
$414K |
| 31231 |
|
6,425 |
5,960 |
$397K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,003 |
2,827 |
$272K |
| 95117 |
|
12,260 |
4,253 |
$182K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
643 |
631 |
$105K |
| 92567 |
|
3,823 |
3,503 |
$52K |
| 69210 |
|
1,886 |
1,737 |
$52K |
| 92557 |
|
1,552 |
1,410 |
$41K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
265 |
262 |
$40K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
187 |
178 |
$38K |
| 70486 |
|
119 |
115 |
$19K |
| 92587 |
|
255 |
231 |
$10K |
| 92579 |
|
125 |
120 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
209 |
152 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
50 |
48 |
$967.03 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
33 |
30 |
$888.10 |
| 92588 |
|
15 |
15 |
$611.30 |
| 95024 |
|
24 |
22 |
$194.18 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$189.96 |
| 95115 |
|
12 |
12 |
$160.92 |