| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,408 |
904 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,224 |
1,625 |
$27K |
| 69210 |
|
1,208 |
910 |
$7K |
| 92557 |
|
173 |
128 |
$747.95 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$673.32 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$389.94 |
| G0268 |
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing |
18 |
17 |
$291.70 |
| 92552 |
|
12 |
12 |
$76.68 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
101 |
93 |
$0.00 |
| 1036F |
|
494 |
458 |
$0.00 |
| 3017F |
|
26 |
24 |
$0.00 |