| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
2,714 |
2,231 |
$385K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,140 |
7,548 |
$357K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,921 |
4,417 |
$354K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,695 |
3,011 |
$210K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,540 |
1,355 |
$142K |
| 95117 |
|
16,421 |
6,785 |
$96K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
371 |
302 |
$53K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
388 |
309 |
$51K |
| 92567 |
|
4,479 |
3,675 |
$47K |
| 95024 |
|
305 |
173 |
$14K |
| 92557 |
|
427 |
327 |
$9K |
| 31575 |
|
309 |
200 |
$8K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
34 |
30 |
$6K |
| 92552 |
|
349 |
297 |
$5K |
| 30140 |
|
14 |
12 |
$4K |
| 69210 |
|
100 |
83 |
$2K |
| 30520 |
|
13 |
12 |
$2K |
| 92588 |
|
35 |
34 |
$2K |
| 96160 |
|
383 |
331 |
$935.94 |
| 92587 |
|
33 |
28 |
$766.48 |
| 94010 |
|
45 |
38 |
$716.24 |
| 92582 |
|
25 |
24 |
$549.84 |
| 95012 |
|
39 |
12 |
$113.71 |
| S8110 |
Peak expiratory flow rate (physician services) |
2,570 |
1,365 |
$43.55 |