| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,397 |
1,356 |
$77K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,639 |
1,447 |
$68K |
| 95117 |
|
2,136 |
1,021 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
503 |
452 |
$14K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
39 |
38 |
$13K |
| 95115 |
|
998 |
462 |
$7K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
15 |
15 |
$3K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
15 |
13 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
25 |
$920.22 |