| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,644 |
1,423 |
$52K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
671 |
616 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,515 |
1,257 |
$51K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
702 |
648 |
$38K |
| 31231 |
|
315 |
281 |
$20K |
| 95117 |
|
1,733 |
821 |
$9K |
| 69210 |
|
410 |
343 |
$7K |
| 92588 |
|
147 |
127 |
$5K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
28 |
27 |
$4K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
26 |
25 |
$3K |
| 92557 |
|
26 |
24 |
$460.76 |
| 92587 |
|
13 |
12 |
$198.07 |
| 92550 |
|
15 |
15 |
$149.66 |
| 92567 |
|
13 |
12 |
$141.50 |
| 99024 |
|
43 |
37 |
$0.00 |