| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
3,007 |
2,976 |
$530K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,920 |
10,333 |
$461K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,845 |
5,527 |
$365K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,255 |
3,236 |
$283K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,575 |
4,543 |
$264K |
| 95024 |
|
4,322 |
4,042 |
$168K |
| 95117 |
|
26,014 |
9,141 |
$155K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,427 |
1,401 |
$118K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
602 |
600 |
$75K |
| 31231 |
|
738 |
686 |
$70K |
| 92557 |
|
3,631 |
3,522 |
$70K |
| 92567 |
|
5,842 |
5,637 |
$51K |
| 31575 |
|
783 |
759 |
$50K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,575 |
632 |
$40K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
151 |
151 |
$26K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
779 |
367 |
$22K |
| 69210 |
|
827 |
803 |
$20K |
| 92587 |
|
1,375 |
1,344 |
$16K |
| 92579 |
|
590 |
578 |
$14K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
506 |
273 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
261 |
255 |
$8K |
| 30520 |
|
25 |
25 |
$8K |
| 94010 |
|
350 |
345 |
$7K |
| 31237 |
|
41 |
27 |
$6K |
| 92588 |
|
167 |
167 |
$3K |
| 92555 |
|
135 |
132 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
40 |
40 |
$2K |
| 97162 |
|
25 |
25 |
$1K |
| 97535 |
Self-care/home management training, each 15 minutes |
65 |
55 |
$1K |
| 30140 |
|
13 |
13 |
$925.14 |
| 92553 |
|
32 |
32 |
$802.22 |
| 92504 |
|
69 |
62 |
$33.27 |