| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,280 |
4,095 |
$310K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,298 |
3,045 |
$307K |
| 31231 |
|
1,349 |
1,305 |
$209K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
692 |
588 |
$206K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
425 |
425 |
$63K |
| 95117 |
|
6,270 |
2,499 |
$59K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
544 |
544 |
$53K |
| 31237 |
|
46 |
24 |
$14K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
58 |
53 |
$10K |
| 95024 |
|
52 |
52 |
$8K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
60 |
60 |
$8K |
| 31575 |
|
54 |
54 |
$5K |
| 99442 |
|
24 |
24 |
$2K |
| 92567 |
|
12 |
12 |
$159.24 |
| 99072 |
|
23 |
23 |
$0.00 |