| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,240 |
5,920 |
$292K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,751 |
4,215 |
$202K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
1,140 |
1,048 |
$158K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,549 |
3,123 |
$109K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,048 |
915 |
$108K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
667 |
594 |
$103K |
| 30140 |
|
266 |
249 |
$96K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
417 |
357 |
$29K |
| 95117 |
|
3,489 |
1,022 |
$23K |
| 95115 |
|
3,240 |
998 |
$16K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
139 |
130 |
$16K |
| 92557 |
|
671 |
568 |
$14K |
| 92567 |
|
856 |
716 |
$8K |
| 30802 |
|
93 |
76 |
$7K |
| 69210 |
|
360 |
282 |
$5K |
| 95024 |
|
13 |
12 |
$1K |
| 31231 |
|
22 |
15 |
$968.22 |
| 92588 |
|
16 |
14 |
$679.02 |
| 31575 |
|
23 |
18 |
$640.88 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
69 |
56 |
$557.71 |
| 30930 |
|
24 |
13 |
$484.54 |
| 36415 |
Collection of venous blood by venipuncture |
235 |
197 |
$352.40 |
| 99024 |
|
15 |
12 |
$0.00 |