| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
8,072 |
7,496 |
$817K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,110 |
11,965 |
$669K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
9,164 |
8,340 |
$616K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,299 |
6,638 |
$538K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
816 |
714 |
$241K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,824 |
1,752 |
$64K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
54 |
53 |
$46K |
| 92567 |
|
3,818 |
3,471 |
$42K |
| 69210 |
|
891 |
761 |
$30K |
| 92557 |
|
1,238 |
1,105 |
$29K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
214 |
207 |
$28K |
| 95117 |
|
2,054 |
1,270 |
$17K |
| 31575 |
|
166 |
142 |
$12K |
| 95115 |
|
1,252 |
658 |
$9K |
| 42830 |
|
14 |
12 |
$4K |
| 99243 |
|
76 |
75 |
$3K |
| 97162 |
|
57 |
52 |
$3K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
12 |
12 |
$1K |
| 97161 |
|
14 |
13 |
$841.02 |
| 92579 |
|
12 |
12 |
$441.18 |
| 92504 |
|
13 |
13 |
$299.48 |