| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,695 |
1,670 |
$176K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,265 |
3,146 |
$121K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,498 |
1,463 |
$87K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
708 |
693 |
$44K |
| 92567 |
|
3,253 |
3,189 |
$42K |
| 92557 |
|
847 |
830 |
$26K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
101 |
100 |
$24K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
114 |
112 |
$11K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
65 |
42 |
$6K |
| 95117 |
|
566 |
341 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
169 |
168 |
$5K |
| 31575 |
|
57 |
55 |
$4K |
| 95115 |
|
922 |
570 |
$4K |
| 69210 |
|
150 |
100 |
$3K |
| 31231 |
|
42 |
41 |
$2K |
| 92587 |
|
168 |
168 |
$1K |
| 92552 |
|
134 |
129 |
$1K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
12 |
12 |
$1K |
| 92556 |
|
47 |
41 |
$911.75 |
| 99243 |
|
12 |
12 |
$778.68 |
| 92593 |
|
41 |
41 |
$602.20 |
| 92555 |
|
68 |
67 |
$555.44 |