| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,368 |
6,063 |
$603K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,310 |
5,103 |
$320K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
2,975 |
2,934 |
$264K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,522 |
1,502 |
$214K |
| 95117 |
|
20,339 |
7,792 |
$196K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,047 |
2,033 |
$186K |
| 95115 |
|
12,175 |
4,492 |
$102K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
309 |
309 |
$87K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
608 |
607 |
$68K |
| 99243 |
|
181 |
179 |
$21K |
| 31231 |
|
136 |
131 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
318 |
313 |
$14K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
71 |
71 |
$12K |
| S9999 |
Sales tax |
2,052 |
1,316 |
$9K |
| 69210 |
|
215 |
206 |
$9K |
| 31575 |
|
67 |
67 |
$7K |
| 92504 |
|
50 |
50 |
$1K |