| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,342 |
3,220 |
$221K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,474 |
1,384 |
$137K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,701 |
2,487 |
$120K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
940 |
893 |
$29K |
| 95117 |
|
4,498 |
1,327 |
$23K |
| 92557 |
|
1,164 |
1,089 |
$19K |
| 92567 |
|
2,308 |
2,182 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
298 |
267 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
165 |
165 |
$13K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
72 |
72 |
$9K |
| 95115 |
|
1,791 |
485 |
$7K |
| 92579 |
|
127 |
124 |
$3K |
| 31231 |
|
25 |
24 |
$3K |
| 31575 |
|
31 |
26 |
$1K |
| 92552 |
|
86 |
79 |
$1K |
| 92555 |
|
42 |
40 |
$564.58 |
| 92587 |
|
13 |
13 |
$167.57 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
47 |
35 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
493 |
433 |
$0.00 |
| 1036F |
|
617 |
547 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
617 |
547 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
15 |
14 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
16 |
15 |
$0.00 |