| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,679 |
3,186 |
$336K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,144 |
1,894 |
$287K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,204 |
2,898 |
$176K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
923 |
793 |
$141K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
1,384 |
695 |
$126K |
| 31575 |
|
995 |
818 |
$85K |
| 31231 |
|
181 |
160 |
$26K |
| 92588 |
|
412 |
380 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
292 |
267 |
$24K |
| 31622 |
|
373 |
263 |
$23K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
87 |
78 |
$21K |
| 92567 |
|
1,304 |
1,207 |
$21K |
| 42975 |
|
140 |
114 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
614 |
550 |
$17K |
| 31526 |
|
143 |
95 |
$12K |
| 92579 |
|
125 |
120 |
$6K |
| 99243 |
|
53 |
50 |
$5K |
| 92557 |
|
141 |
131 |
$5K |
| 42830 |
|
14 |
12 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
40 |
26 |
$1K |
| 92504 |
|
85 |
82 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
47 |
27 |
$862.48 |
| 69210 |
|
33 |
26 |
$705.12 |
| 31579 |
|
14 |
13 |
$481.93 |
| 92552 |
|
13 |
13 |
$196.86 |
| 92555 |
|
14 |
14 |
$128.08 |
| 3008F |
|
64 |
62 |
$0.00 |
| 1036F |
|
12 |
12 |
$0.00 |