| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
843 |
685 |
$51K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
667 |
582 |
$42K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
329 |
257 |
$41K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
297 |
264 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
817 |
745 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
130 |
111 |
$11K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
45 |
42 |
$8K |
| 99205 |
Prolong outpt/office vis |
18 |
13 |
$5K |
| 95117 |
|
196 |
140 |
$3K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
33 |
26 |
$2K |
| 42830 |
|
12 |
12 |
$1K |