| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,842 |
3,613 |
$181K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,504 |
2,471 |
$173K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,525 |
1,457 |
$115K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
635 |
631 |
$83K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
230 |
230 |
$45K |
| 92557 |
|
1,606 |
1,563 |
$38K |
| 92567 |
|
2,953 |
2,854 |
$31K |
| 95117 |
|
2,611 |
939 |
$22K |
| 92579 |
|
489 |
475 |
$16K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
79 |
78 |
$16K |
| 95024 |
|
238 |
224 |
$8K |
| 31575 |
|
184 |
163 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
57 |
52 |
$6K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
13 |
13 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
40 |
38 |
$3K |
| 31579 |
|
17 |
16 |
$3K |
| 99221 |
|
42 |
41 |
$2K |
| 92558 |
|
163 |
155 |
$968.44 |
| 99406 |
|
15 |
15 |
$69.94 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
15 |
15 |
$0.00 |
| 99024 |
|
12 |
12 |
$0.00 |