| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,941 |
31,803 |
$1.71M |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
5,934 |
5,251 |
$1.43M |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
8,751 |
7,302 |
$1.42M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
6,410 |
5,259 |
$755K |
| 99243 |
|
7,299 |
6,419 |
$675K |
| 92567 |
|
49,461 |
42,812 |
$665K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
8,733 |
7,244 |
$630K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,282 |
6,038 |
$483K |
| 92587 |
|
8,145 |
7,062 |
$257K |
| 92579 |
|
8,181 |
7,123 |
$222K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
1,635 |
1,612 |
$193K |
| 42830 |
|
2,053 |
1,625 |
$165K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,926 |
4,107 |
$149K |
| 92582 |
|
2,985 |
2,590 |
$103K |
| 92555 |
|
6,253 |
5,381 |
$89K |
| 92552 |
|
4,674 |
3,993 |
$85K |
| 31231 |
|
1,929 |
1,421 |
$79K |
| 92556 |
|
2,391 |
2,064 |
$53K |
| 92557 |
|
1,491 |
1,199 |
$34K |
| 92583 |
|
380 |
357 |
$11K |
| 40819 |
|
86 |
53 |
$6K |
| 31575 |
|
58 |
52 |
$5K |
| 41010 |
|
29 |
26 |
$4K |
| 42821 |
|
14 |
14 |
$4K |
| 95117 |
|
220 |
64 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
33 |
25 |
$2K |
| 92553 |
|
17 |
12 |
$387.10 |
| 92504 |
|
20 |
12 |
$87.35 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
20 |
12 |
$0.00 |