| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,096 |
1,002 |
$135K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,010 |
927 |
$81K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
770 |
686 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
310 |
290 |
$25K |
| 31231 |
|
150 |
141 |
$22K |
| 92567 |
|
624 |
603 |
$9K |
| 92557 |
|
234 |
227 |
$7K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
12 |
12 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
15 |
$658.14 |
| 69210 |
|
15 |
13 |
$497.41 |
| 92579 |
|
12 |
12 |
$437.15 |
| 92504 |
|
13 |
12 |
$352.77 |