| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,138 |
11,447 |
$553K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,300 |
4,470 |
$309K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,086 |
2,577 |
$191K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,628 |
1,304 |
$147K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
968 |
799 |
$124K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,191 |
2,661 |
$123K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
724 |
596 |
$90K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
372 |
331 |
$78K |
| 92557 |
|
3,706 |
2,962 |
$67K |
| 92567 |
|
7,221 |
5,887 |
$49K |
| 95117 |
|
6,454 |
2,454 |
$42K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,026 |
807 |
$27K |
| 69210 |
|
1,266 |
985 |
$22K |
| 92587 |
|
849 |
716 |
$17K |
| 31575 |
|
28 |
26 |
$1K |
| 92558 |
|
148 |
121 |
$30.30 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,346 |
1,801 |
$0.09 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
655 |
516 |
$0.00 |
| 4040F |
|
1,129 |
952 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
223 |
183 |
$0.00 |
| 1124F |
|
55 |
55 |
$0.00 |
| 4004F |
|
52 |
36 |
$0.00 |
| 1101F |
|
245 |
233 |
$0.00 |
| 1036F |
|
324 |
216 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
114 |
91 |
$0.00 |
| G8857 |
Patient is not eligible for the referral for otologic evaluation measure (e.g., patients who are already under the care of a physician for acute or chronic dizziness) |
44 |
39 |
$0.00 |
| 4132F |
|
13 |
12 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
57 |
48 |
$0.00 |