| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,727 |
3,801 |
$182K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,925 |
1,407 |
$177K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,354 |
1,777 |
$127K |
| 99243 |
|
1,117 |
1,047 |
$101K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,286 |
940 |
$74K |
| 92567 |
|
4,791 |
3,938 |
$54K |
| 92557 |
|
1,336 |
1,042 |
$34K |
| 92579 |
|
483 |
429 |
$15K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
67 |
62 |
$9K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
28 |
24 |
$5K |
| 31231 |
|
38 |
28 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
94 |
67 |
$2K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
15 |
14 |
$991.00 |
| V5266 |
Battery for use in hearing device |
29 |
27 |
$810.54 |
| 69210 |
|
53 |
28 |
$695.88 |
| 31575 |
|
17 |
12 |
$615.76 |
| 92504 |
|
12 |
12 |
$216.11 |