| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 31020 |
|
1,633 |
579 |
$249K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
2,215 |
1,688 |
$166K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,689 |
2,886 |
$157K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,033 |
3,285 |
$132K |
| 99243 |
|
1,719 |
1,558 |
$116K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
1,334 |
877 |
$99K |
| 95117 |
|
15,366 |
6,779 |
$90K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
1,162 |
457 |
$70K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
651 |
588 |
$34K |
| 92567 |
|
3,296 |
2,687 |
$33K |
| 42830 |
|
205 |
196 |
$19K |
| 92557 |
|
410 |
289 |
$7K |
| 92587 |
|
173 |
137 |
$5K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
38 |
37 |
$5K |
| 92579 |
|
14 |
12 |
$228.00 |