| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,784 |
4,626 |
$384K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,161 |
2,106 |
$257K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,049 |
1,025 |
$76K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,557 |
1,497 |
$69K |
| 99215 |
Prolong outpt/office vis |
394 |
377 |
$30K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
171 |
168 |
$22K |
| 99205 |
Prolong outpt/office vis |
163 |
156 |
$17K |
| 69210 |
|
276 |
258 |
$5K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
37 |
37 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
143 |
140 |
$3K |
| 3008F |
|
4,674 |
4,480 |
$3K |
| 31575 |
|
41 |
36 |
$2K |
| 99442 |
|
75 |
74 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
25 |
$920.49 |
| 99443 |
|
19 |
18 |
$460.48 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
122 |
114 |
$263.82 |
| 1160F |
|
2,541 |
2,402 |
$7.00 |
| 1159F |
|
2,541 |
2,402 |
$7.00 |
| 99024 |
|
255 |
215 |
$4.00 |
| 3074F |
|
965 |
916 |
$2.00 |
| 3078F |
|
956 |
909 |
$2.00 |
| 1036F |
|
2,678 |
2,535 |
$0.00 |