| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,123 |
3,779 |
$260K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,935 |
7,357 |
$209K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,878 |
1,688 |
$92K |
| 95024 |
|
681 |
637 |
$54K |
| 95115 |
|
9,132 |
3,034 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,004 |
790 |
$33K |
| 92567 |
|
3,029 |
2,753 |
$28K |
| 95117 |
|
5,260 |
1,628 |
$28K |
| 70486 |
|
302 |
244 |
$24K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
158 |
140 |
$20K |
| 92588 |
|
450 |
438 |
$18K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
217 |
212 |
$16K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
152 |
139 |
$10K |
| 92557 |
|
576 |
510 |
$10K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
49 |
45 |
$10K |
| 00126 |
|
132 |
128 |
$7K |
| 31575 |
|
67 |
57 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
44 |
43 |
$3K |
| 00160 |
|
25 |
25 |
$2K |
| 69210 |
|
75 |
68 |
$1K |
| 69990 |
|
204 |
186 |
$0.00 |