| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,830 |
1,669 |
$82K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,104 |
1,102 |
$70K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
201 |
200 |
$16K |
| 92557 |
|
189 |
187 |
$4K |
| 92567 |
|
389 |
383 |
$3K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
13 |
13 |
$2K |
| 99243 |
|
24 |
24 |
$2K |
| 3074F |
|
201 |
197 |
$0.11 |
| 3080F |
|
166 |
166 |
$0.08 |
| 3079F |
|
114 |
109 |
$0.06 |
| 3077F |
|
87 |
87 |
$0.04 |
| 3078F |
|
27 |
27 |
$0.01 |
| 1159F |
|
612 |
569 |
$0.00 |
| G9969 |
Clinician who referred the patient to another clinician received a report from the clinician to whom the patient was referred |
2,338 |
1,935 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
14 |
13 |
$0.00 |