| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,941 |
3,590 |
$140K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,657 |
1,611 |
$103K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
387 |
378 |
$89K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
897 |
789 |
$71K |
| 99243 |
|
473 |
468 |
$44K |
| 92567 |
|
3,418 |
3,253 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
242 |
220 |
$14K |
| 92557 |
|
444 |
430 |
$12K |
| 92579 |
|
238 |
231 |
$8K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
61 |
57 |
$7K |
| 69210 |
|
229 |
209 |
$5K |
| 31231 |
|
16 |
16 |
$3K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
18 |
18 |
$2K |
| 99215 |
Prolong outpt/office vis |
27 |
24 |
$2K |
| 92587 |
|
68 |
66 |
$1K |
| 31575 |
|
14 |
14 |
$1K |
| 92558 |
|
112 |
108 |
$953.41 |
| 99417 |
Prolong home eval add 15m |
55 |
26 |
$606.44 |
| 92504 |
|
14 |
13 |
$264.21 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$238.10 |