| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,604 |
4,597 |
$593K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,294 |
2,217 |
$213K |
| 31231 |
|
1,077 |
1,073 |
$176K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,526 |
2,378 |
$165K |
| 31575 |
|
1,261 |
1,257 |
$132K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
348 |
348 |
$47K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
114 |
114 |
$29K |
| 99205 |
Prolong outpt/office vis |
137 |
137 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
273 |
272 |
$25K |
| 69210 |
|
410 |
346 |
$16K |
| 99443 |
|
72 |
72 |
$7K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
38 |
38 |
$7K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
12 |
12 |
$2K |
| 99442 |
|
23 |
23 |
$2K |
| 31579 |
|
16 |
16 |
$2K |
| 99024 |
|
13 |
13 |
$0.00 |