| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
7,704 |
7,647 |
$568K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,255 |
6,056 |
$309K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,287 |
6,243 |
$282K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,853 |
7,627 |
$255K |
| 92557 |
|
6,615 |
6,409 |
$122K |
| 31579 |
|
1,596 |
1,528 |
$113K |
| 31231 |
|
2,616 |
2,532 |
$102K |
| 31575 |
|
2,151 |
2,074 |
$79K |
| 92567 |
|
7,879 |
7,607 |
$54K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
396 |
388 |
$45K |
| 69210 |
|
1,149 |
1,110 |
$20K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
458 |
439 |
$18K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
101 |
100 |
$17K |
| 92579 |
|
612 |
586 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
709 |
700 |
$11K |
| 92511 |
|
114 |
107 |
$3K |
| 99215 |
Prolong outpt/office vis |
28 |
26 |
$2K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| 30140 |
|
12 |
12 |
$872.78 |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
12 |
$870.10 |
| 30901 |
|
28 |
24 |
$855.17 |
| 92588 |
|
31 |
25 |
$500.90 |
| 92540 |
|
12 |
12 |
$476.79 |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
15 |
13 |
$458.14 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
24 |
$137.28 |
| G0268 |
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing |
70 |
69 |
$29.78 |
| 92504 |
|
272 |
261 |
$9.06 |
| 1159F |
|
4,409 |
4,202 |
$2.23 |
| 1160F |
|
4,500 |
4,280 |
$2.23 |
| 3008F |
|
5,003 |
4,811 |
$2.23 |
| 1034F |
|
1,116 |
1,047 |
$2.23 |
| 3288F |
|
362 |
354 |
$0.00 |
| 3078F |
|
87 |
74 |
$0.00 |
| 92520 |
|
14 |
12 |
$0.00 |
| 1126F |
|
1,201 |
1,168 |
$0.00 |
| 99024 |
|
1,097 |
1,020 |
$0.00 |
| 1036F |
|
4,387 |
4,105 |
$0.00 |
| 3074F |
|
123 |
107 |
$0.00 |
| 1125F |
|
39 |
38 |
$0.00 |