| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13,185 |
11,740 |
$1.13M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,612 |
14,848 |
$1.04M |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
3,740 |
3,322 |
$1.04M |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
3,796 |
3,281 |
$734K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,507 |
4,879 |
$666K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,019 |
6,035 |
$659K |
| 31231 |
|
4,347 |
3,672 |
$542K |
| 31622 |
|
3,598 |
2,976 |
$525K |
| 31579 |
|
2,202 |
1,889 |
$303K |
| 31599 |
|
1,365 |
1,077 |
$246K |
| 31526 |
|
1,250 |
1,026 |
$80K |
| 31575 |
|
1,096 |
951 |
$71K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
932 |
826 |
$34K |
| 30465 |
|
27 |
25 |
$32K |
| 69210 |
|
948 |
792 |
$29K |
| 99205 |
Prolong outpt/office vis |
191 |
157 |
$28K |
| 92567 |
|
3,676 |
3,388 |
$27K |
| 99222 |
Initial hospital care, per day, moderate complexity |
185 |
153 |
$18K |
| 92504 |
|
686 |
581 |
$17K |
| 31237 |
|
58 |
38 |
$15K |
| 92555 |
|
799 |
735 |
$12K |
| 99221 |
|
108 |
89 |
$11K |
| 30520 |
|
26 |
25 |
$11K |
| 99215 |
Prolong outpt/office vis |
56 |
53 |
$10K |
| 92579 |
|
248 |
226 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
35 |
29 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
120 |
89 |
$3K |
| 92587 |
|
183 |
171 |
$3K |
| 30802 |
|
13 |
12 |
$2K |
| 92557 |
|
115 |
101 |
$2K |
| 31615 |
|
14 |
12 |
$1K |
| 92552 |
|
54 |
50 |
$1K |
| 92556 |
|
12 |
12 |
$319.80 |