| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
10,503 |
10,492 |
$988K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,104 |
8,787 |
$641K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
7,285 |
7,272 |
$438K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,714 |
9,160 |
$437K |
| 31231 |
|
3,194 |
3,154 |
$343K |
| 31575 |
|
3,308 |
3,246 |
$227K |
| 92557 |
|
8,252 |
8,098 |
$170K |
| 95024 |
|
1,035 |
938 |
$88K |
| 30140 |
|
523 |
523 |
$65K |
| 69210 |
|
2,608 |
2,527 |
$62K |
| 30520 |
|
158 |
157 |
$53K |
| 92567 |
|
4,162 |
4,100 |
$38K |
| 95800 |
|
329 |
322 |
$29K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
323 |
320 |
$28K |
| 99205 |
Prolong outpt/office vis |
234 |
234 |
$27K |
| 95117 |
|
3,498 |
1,158 |
$25K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
152 |
151 |
$19K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
168 |
167 |
$17K |
| 31237 |
|
82 |
76 |
$16K |
| 69433 |
Temp tube delivery, unil |
92 |
88 |
$12K |
| 99441 |
|
420 |
411 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
459 |
449 |
$11K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
26 |
26 |
$5K |
| 99215 |
Prolong outpt/office vis |
54 |
54 |
$4K |
| 99442 |
|
100 |
97 |
$4K |
| 92540 |
|
64 |
64 |
$4K |
| 94010 |
|
189 |
189 |
$4K |
| 92553 |
|
104 |
101 |
$2K |
| 42821 |
|
12 |
12 |
$2K |
| 30903 |
|
13 |
12 |
$2K |
| 92587 |
|
112 |
112 |
$1K |
| 92537 |
|
51 |
51 |
$1K |
| 30901 |
|
12 |
12 |
$1K |
| 92555 |
|
12 |
12 |
$162.85 |
| G0268 |
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing |
471 |
469 |
$55.58 |
| 99072 |
|
625 |
556 |
$29.75 |
| 1111F |
|
1,411 |
1,403 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
35 |
34 |
$0.00 |
| 4040F |
|
30 |
29 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
37 |
36 |
$0.00 |