| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 31231 |
|
10,100 |
9,885 |
$2.13M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
7,261 |
7,257 |
$878K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,209 |
3,209 |
$588K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,119 |
5,750 |
$556K |
| 31575 |
|
3,044 |
3,015 |
$413K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,792 |
1,753 |
$249K |
| 69210 |
|
915 |
915 |
$42K |
| 92504 |
|
786 |
785 |
$23K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
25 |
25 |
$10K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
13 |
13 |
$4K |
| 99051 |
|
125 |
121 |
$630.63 |
| 99072 |
|
112 |
108 |
$378.00 |