| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,936 |
13,621 |
$729K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,696 |
5,673 |
$496K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,750 |
11,498 |
$380K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,998 |
5,951 |
$289K |
| 31575 |
|
4,817 |
4,755 |
$204K |
| 31579 |
|
1,609 |
1,585 |
$114K |
| 31231 |
|
2,825 |
2,788 |
$113K |
| 69210 |
|
3,363 |
3,204 |
$61K |
| 99215 |
Prolong outpt/office vis |
846 |
833 |
$58K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
174 |
173 |
$38K |
| 99205 |
Prolong outpt/office vis |
327 |
326 |
$33K |
| 99223 |
Prolong inpt eval add15 m |
151 |
146 |
$19K |
| 92504 |
|
3,234 |
3,176 |
$18K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
467 |
467 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
550 |
547 |
$10K |
| 99222 |
Initial hospital care, per day, moderate complexity |
110 |
109 |
$9K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
37 |
37 |
$6K |
| 99221 |
|
61 |
61 |
$4K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
25 |
25 |
$3K |
| 99443 |
|
54 |
54 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
12 |
12 |
$575.89 |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
27 |
27 |
$483.84 |