| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
5,549 |
3,239 |
$3.51M |
| 31231 |
|
10,490 |
9,959 |
$2.43M |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
4,434 |
4,046 |
$1.50M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,761 |
12,207 |
$1.23M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,903 |
6,838 |
$881K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,626 |
5,382 |
$771K |
| 95117 |
|
21,891 |
13,250 |
$300K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,052 |
1,048 |
$201K |
| 31575 |
|
920 |
915 |
$131K |
| 69210 |
|
1,730 |
1,713 |
$107K |
| 95024 |
|
679 |
678 |
$85K |
| G0268 |
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing |
728 |
727 |
$44K |
| 92504 |
|
1,497 |
1,392 |
$42K |
| 92567 |
|
1,933 |
1,860 |
$22K |
| 92557 |
|
460 |
452 |
$20K |
| 30200 |
|
265 |
248 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
206 |
201 |
$12K |
| 30903 |
|
14 |
13 |
$5K |
| 92511 |
|
31 |
31 |
$4K |
| 92579 |
|
71 |
68 |
$4K |
| 30901 |
|
15 |
15 |
$3K |
| 92588 |
|
65 |
64 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
27 |
27 |
$2K |
| 94010 |
|
42 |
40 |
$2K |
| 95115 |
|
40 |
24 |
$470.75 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$52.50 |
| 99070 |
|
2,866 |
2,208 |
$0.00 |