| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,137 |
4,135 |
$347K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,008 |
3,817 |
$254K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,603 |
1,600 |
$182K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
601 |
601 |
$105K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
399 |
399 |
$97K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
833 |
821 |
$78K |
| 95117 |
|
8,066 |
3,409 |
$67K |
| 92567 |
|
2,738 |
2,719 |
$36K |
| 30802 |
|
273 |
273 |
$24K |
| 92588 |
|
672 |
667 |
$20K |
| 92557 |
|
242 |
241 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
157 |
157 |
$6K |
| 95115 |
|
910 |
352 |
$5K |
| 92587 |
|
171 |
171 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
17 |
$2K |
| 92552 |
|
15 |
15 |
$365.41 |
| 92555 |
|
12 |
12 |
$267.64 |