| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,661 |
4,596 |
$365K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,056 |
2,054 |
$219K |
| 31231 |
|
937 |
930 |
$172K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,279 |
1,271 |
$148K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
367 |
367 |
$58K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
93 |
93 |
$25K |
| 31575 |
|
226 |
223 |
$25K |
| 31579 |
|
137 |
136 |
$25K |
| 92557 |
|
420 |
417 |
$15K |
| 92567 |
|
567 |
545 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
68 |
67 |
$3K |
| 31622 |
|
12 |
12 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$901.89 |
| 92504 |
|
12 |
12 |
$334.92 |
| 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) |
19 |
19 |
$301.91 |