| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46,756 |
41,647 |
$1.51M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,644 |
19,585 |
$1.05M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12,299 |
11,365 |
$1.02M |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
5,597 |
5,337 |
$747K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13,581 |
12,461 |
$671K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
2,091 |
1,973 |
$404K |
| 92588 |
|
7,714 |
7,040 |
$299K |
| 42830 |
|
1,816 |
1,717 |
$181K |
| 92567 |
|
18,702 |
16,806 |
$164K |
| 31575 |
|
2,991 |
2,719 |
$139K |
| 92557 |
|
5,148 |
4,648 |
$115K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
206 |
202 |
$90K |
| 99205 |
Prolong outpt/office vis |
698 |
635 |
$82K |
| 95811 |
|
151 |
143 |
$69K |
| 69210 |
|
3,557 |
3,168 |
$61K |
| 31231 |
|
760 |
680 |
$60K |
| 76536 |
|
1,402 |
1,288 |
$55K |
| 92587 |
|
2,211 |
2,112 |
$54K |
| 99215 |
Prolong outpt/office vis |
634 |
567 |
$49K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
709 |
643 |
$14K |
| 31238 |
|
49 |
40 |
$12K |
| 70486 |
|
80 |
70 |
$6K |
| 42825 |
|
30 |
29 |
$5K |
| 31000 |
|
27 |
27 |
$4K |
| 95806 |
|
14 |
14 |
$2K |
| 92552 |
|
190 |
168 |
$2K |
| 30200 |
|
28 |
26 |
$970.78 |
| 92540 |
|
15 |
13 |
$741.77 |
| 92550 |
|
43 |
40 |
$523.81 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
49 |
36 |
$437.74 |
| 92537 |
|
14 |
12 |
$292.30 |
| 92553 |
|
14 |
13 |
$190.47 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
213 |
171 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,875 |
1,581 |
$0.00 |
| 3288F |
|
14 |
13 |
$0.00 |
| 99024 |
|
1,482 |
1,377 |
$0.00 |
| 1036F |
|
47 |
38 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
25 |
25 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
31 |
26 |
$0.00 |
| 1111F |
|
93 |
92 |
$0.00 |