| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,710 |
10,916 |
$544K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,007 |
6,376 |
$416K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
2,046 |
2,015 |
$362K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,527 |
1,452 |
$162K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,684 |
1,587 |
$119K |
| 92567 |
|
3,409 |
3,264 |
$57K |
| 92511 |
|
955 |
905 |
$50K |
| 92587 |
|
807 |
781 |
$40K |
| 69210 |
|
1,158 |
1,116 |
$33K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
116 |
110 |
$27K |
| 99205 |
Prolong outpt/office vis |
209 |
201 |
$23K |
| 92552 |
|
1,431 |
1,403 |
$21K |
| 99215 |
Prolong outpt/office vis |
262 |
245 |
$20K |
| 92555 |
|
1,593 |
1,557 |
$20K |
| 92550 |
|
1,670 |
1,626 |
$19K |
| 92504 |
|
708 |
646 |
$13K |
| 92557 |
|
397 |
386 |
$12K |
| 31579 |
|
101 |
98 |
$9K |
| 31231 |
|
94 |
91 |
$7K |
| 42830 |
|
41 |
38 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
70 |
70 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
134 |
67 |
$979.22 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
50 |
50 |
$401.07 |
| 1036F |
|
73 |
66 |
$0.00 |
| 1101F |
|
126 |
115 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
185 |
172 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
198 |
184 |
$0.00 |
| 4040F |
|
201 |
187 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
61 |
56 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
14 |
13 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
14 |
13 |
$0.00 |