| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,326 |
3,081 |
$226K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,014 |
874 |
$61K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,003 |
911 |
$47K |
| 95117 |
|
2,089 |
1,466 |
$18K |
| 31231 |
|
71 |
67 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
78 |
75 |
$8K |
| 92567 |
|
399 |
357 |
$4K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
16 |
12 |
$2K |
| 92504 |
|
95 |
88 |
$2K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
27 |
25 |
$1K |
| 92556 |
|
25 |
24 |
$659.95 |
| 92552 |
|
25 |
24 |
$624.59 |