| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,012 |
4,573 |
$401K |
| 99215 |
Prolong outpt/office vis |
2,883 |
2,341 |
$296K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,965 |
1,846 |
$250K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,611 |
2,417 |
$145K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,285 |
1,228 |
$113K |
| 92567 |
|
3,652 |
3,394 |
$39K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
160 |
141 |
$25K |
| 99205 |
Prolong outpt/office vis |
164 |
130 |
$21K |
| 92579 |
|
464 |
435 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
374 |
358 |
$13K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,723 |
1,312 |
$13K |
| 92588 |
|
263 |
255 |
$13K |
| 99233 |
Prolong inpt eval add15 m |
165 |
65 |
$11K |
| 96132 |
|
103 |
86 |
$11K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
44 |
44 |
$9K |
| 92587 |
|
164 |
144 |
$5K |
| 73100 |
|
365 |
344 |
$4K |
| 95782 |
|
29 |
29 |
$4K |
| Q4010 |
Cast supplies, short arm cast, adult (11 years +), fiberglass |
46 |
40 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
14 |
12 |
$2K |
| 31622 |
|
14 |
14 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
29 |
12 |
$2K |
| 25600 |
|
14 |
13 |
$2K |
| 31575 |
|
38 |
36 |
$2K |
| 72081 |
|
56 |
55 |
$1K |
| 69210 |
|
66 |
62 |
$1K |
| 92555 |
|
49 |
47 |
$930.68 |
| 29075 |
|
18 |
16 |
$906.40 |
| 73090 |
|
60 |
44 |
$858.46 |
| Q4012 |
Cast supplies, short arm cast, pediatric (0-10 years), fiberglass |
28 |
24 |
$570.32 |
| 72082 |
|
12 |
12 |
$503.25 |
| 31231 |
|
14 |
12 |
$498.32 |
| 36415 |
Collection of venous blood by venipuncture |
317 |
281 |
$479.04 |
| 92582 |
|
26 |
26 |
$410.76 |
| 73070 |
|
29 |
25 |
$367.72 |
| 95816 |
|
20 |
12 |
$362.71 |
| 92556 |
|
13 |
13 |
$355.70 |
| 92552 |
|
28 |
26 |
$279.84 |
| 99024 |
|
30 |
30 |
$0.00 |