| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,142 |
18,317 |
$1.16M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,208 |
3,892 |
$350K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
1,135 |
1,011 |
$174K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,426 |
2,879 |
$129K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,173 |
1,907 |
$109K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
686 |
624 |
$85K |
| 99243 |
|
940 |
810 |
$76K |
| 92567 |
|
5,627 |
4,929 |
$52K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
274 |
259 |
$51K |
| 92504 |
|
1,219 |
1,033 |
$19K |
| 99242 |
|
171 |
166 |
$11K |
| 92557 |
|
771 |
677 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
205 |
176 |
$6K |
| 92587 |
|
425 |
393 |
$6K |
| 99245 |
|
84 |
60 |
$4K |
| 99205 |
Prolong outpt/office vis |
33 |
30 |
$4K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
424 |
156 |
$4K |
| 99215 |
Prolong outpt/office vis |
64 |
53 |
$3K |
| 31575 |
|
69 |
60 |
$3K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
12 |
12 |
$2K |
| 86003 |
|
15 |
13 |
$1K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
66 |
24 |
$631.31 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
111 |
42 |
$471.60 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
105 |
97 |
$459.54 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
26 |
25 |
$179.21 |
| 99406 |
|
258 |
220 |
$133.63 |
| 69210 |
|
17 |
14 |
$112.49 |
| G8484 |
Influenza immunization was not administered, reason not given |
5,168 |
4,545 |
$12.14 |
| G8867 |
Pneumococcal vaccine not administered or previously received, reason not given |
164 |
154 |
$0.00 |
| 99024 |
|
109 |
96 |
$0.00 |
| 1036F |
|
48 |
43 |
$0.00 |
| 4035F |
|
4,563 |
4,090 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
138 |
133 |
$0.00 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
109 |
78 |
$0.00 |