| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,164 |
1,133 |
$66K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
919 |
871 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
286 |
281 |
$25K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
62 |
60 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
215 |
205 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
409 |
394 |
$9K |
| 69210 |
|
168 |
164 |
$5K |
| 31231 |
|
29 |
28 |
$4K |
| 95117 |
|
530 |
254 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
53 |
53 |
$2K |
| 92504 |
|
35 |
34 |
$740.30 |
| 1036F |
|
141 |
131 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
116 |
107 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
56 |
51 |
$0.00 |