| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,243 |
3,243 |
$428K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,642 |
4,532 |
$314K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,876 |
2,786 |
$284K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
611 |
611 |
$152K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
699 |
699 |
$114K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
817 |
817 |
$71K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
328 |
327 |
$59K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
648 |
642 |
$27K |
| 95117 |
|
2,853 |
1,045 |
$23K |
| 92504 |
|
411 |
397 |
$10K |
| 99205 |
Prolong outpt/office vis |
24 |
24 |
$5K |
| 95115 |
|
282 |
127 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
28 |
28 |
$2K |
| 70486 |
|
13 |
13 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
58 |
58 |
$1K |