| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,298 |
9,030 |
$315K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,676 |
3,661 |
$265K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,474 |
5,466 |
$254K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,316 |
4,249 |
$218K |
| 31231 |
|
3,049 |
2,989 |
$116K |
| 31575 |
|
2,773 |
2,677 |
$104K |
| 31579 |
|
1,250 |
1,221 |
$84K |
| 99223 |
Prolong inpt eval add15 m |
655 |
651 |
$71K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
204 |
203 |
$36K |
| 99215 |
Prolong outpt/office vis |
372 |
363 |
$30K |
| 69210 |
|
1,381 |
1,363 |
$30K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
44 |
43 |
$5K |
| 30520 |
|
12 |
12 |
$4K |
| 30140 |
|
41 |
41 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
150 |
88 |
$3K |
| 99254 |
|
13 |
13 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
19 |
12 |
$745.74 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
31 |
$653.16 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$407.92 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
59 |
59 |
$63.67 |
| 92504 |
|
172 |
167 |
$3.98 |
| 3078F |
|
14 |
14 |
$0.00 |
| G0268 |
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing |
44 |
43 |
$0.00 |
| 3074F |
|
14 |
14 |
$0.00 |