| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
5,165 |
5,048 |
$618K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,924 |
10,573 |
$399K |
| 95117 |
|
29,033 |
10,688 |
$273K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
2,163 |
1,033 |
$176K |
| 99243 |
|
2,488 |
2,338 |
$173K |
| 92587 |
|
3,192 |
3,066 |
$109K |
| 95115 |
|
10,191 |
3,799 |
$84K |
| 92567 |
|
5,718 |
5,406 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
923 |
844 |
$61K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
440 |
395 |
$40K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
166 |
156 |
$36K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
593 |
551 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
315 |
293 |
$31K |
| 69210 |
|
752 |
647 |
$12K |
| 95024 |
|
77 |
72 |
$9K |
| 95811 |
|
83 |
81 |
$7K |
| 92553 |
|
456 |
418 |
$6K |
| 92552 |
|
226 |
218 |
$5K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
89 |
83 |
$4K |
| 92558 |
|
84 |
81 |
$1K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
20 |
13 |
$1K |
| 94660 |
|
77 |
69 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
17 |
$80.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
17 |
16 |
$59.55 |