| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,584 |
10,021 |
$964K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,540 |
3,537 |
$557K |
| 31231 |
|
1,926 |
1,579 |
$425K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,147 |
3,145 |
$354K |
| 99443 |
|
1,410 |
1,385 |
$188K |
| 92557 |
|
2,092 |
2,085 |
$86K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
735 |
717 |
$84K |
| 31575 |
|
693 |
686 |
$76K |
| 69210 |
|
1,609 |
1,251 |
$74K |
| 92550 |
|
2,084 |
2,078 |
$34K |
| 92537 |
|
131 |
131 |
$19K |
| 92540 |
|
131 |
131 |
$13K |
| 31238 |
|
12 |
12 |
$3K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
12 |
12 |
$3K |
| 30802 |
|
14 |
14 |
$3K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
14 |
14 |
$2K |
| 92547 |
|
131 |
131 |
$2K |
| 99442 |
|
15 |
14 |
$484.46 |
| 92587 |
|
14 |
14 |
$269.53 |
| 99072 |
|
44 |
38 |
$0.00 |