| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,525 |
1,448 |
$56K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
567 |
563 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
287 |
277 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
149 |
148 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
225 |
217 |
$7K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
14 |
14 |
$1K |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
111 |
108 |
$0.00 |
| 1036F |
|
122 |
120 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
122 |
120 |
$0.00 |