| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
8,672 |
7,202 |
$807K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,161 |
15,136 |
$719K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,211 |
6,665 |
$519K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
8,898 |
7,681 |
$502K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
914 |
808 |
$174K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
1,163 |
1,072 |
$162K |
| 92567 |
|
19,894 |
17,812 |
$131K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
762 |
647 |
$91K |
| 95117 |
|
10,311 |
6,303 |
$68K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,726 |
1,509 |
$39K |
| 31579 |
|
376 |
284 |
$25K |
| 92557 |
|
1,651 |
1,438 |
$24K |
| 92552 |
|
1,127 |
995 |
$20K |
| 10005 |
|
270 |
214 |
$17K |
| 92555 |
|
986 |
877 |
$14K |
| 95115 |
|
2,266 |
1,473 |
$13K |
| 92579 |
|
364 |
333 |
$11K |
| 92524 |
|
166 |
139 |
$8K |
| 69210 |
|
419 |
309 |
$7K |
| 92587 |
|
373 |
337 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
153 |
141 |
$5K |
| 92546 |
|
46 |
25 |
$4K |
| 92540 |
|
45 |
28 |
$3K |
| 30802 |
|
12 |
12 |
$2K |
| 92553 |
|
70 |
58 |
$2K |
| 76536 |
|
30 |
25 |
$2K |
| 96156 |
|
104 |
67 |
$2K |
| 92548 |
|
23 |
12 |
$947.61 |
| 92612 |
|
22 |
13 |
$863.82 |
| 92588 |
|
70 |
61 |
$771.36 |
| 92550 |
|
58 |
52 |
$451.30 |
| 92541 |
|
23 |
12 |
$410.75 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
34 |
13 |
$332.82 |
| 92585 |
|
19 |
12 |
$271.69 |
| 92545 |
|
23 |
12 |
$271.27 |
| 99024 |
|
343 |
307 |
$0.00 |
| 99243 |
|
20 |
14 |
$0.00 |
| 99072 |
|
1,024 |
870 |
$0.00 |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
18 |
14 |
$0.00 |