| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
6,577 |
6,329 |
$619K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,150 |
10,214 |
$465K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,389 |
5,170 |
$332K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,450 |
4,226 |
$273K |
| 99243 |
|
1,954 |
1,919 |
$175K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
1,301 |
1,269 |
$170K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
706 |
693 |
$169K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
825 |
756 |
$144K |
| 92567 |
|
12,244 |
11,773 |
$141K |
| 31575 |
|
1,930 |
1,728 |
$139K |
| 31231 |
|
927 |
879 |
$137K |
| 92557 |
|
3,774 |
3,615 |
$97K |
| 31579 |
|
401 |
359 |
$46K |
| 99205 |
Prolong outpt/office vis |
410 |
382 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,256 |
1,215 |
$36K |
| 92587 |
|
1,833 |
1,780 |
$31K |
| 92555 |
|
1,131 |
1,096 |
$21K |
| 92552 |
|
331 |
316 |
$8K |
| 99242 |
|
102 |
102 |
$7K |
| 69210 |
|
126 |
122 |
$4K |
| 31622 |
|
15 |
15 |
$3K |
| 92553 |
|
94 |
92 |
$3K |
| 69200 |
|
18 |
15 |
$1K |
| 31615 |
|
13 |
12 |
$956.04 |