| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,601 |
15,256 |
$701K |
| 99205 |
Prolong outpt/office vis |
3,582 |
3,508 |
$459K |
| 69210 |
|
10,133 |
6,137 |
$349K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
652 |
651 |
$149K |
| 99245 |
|
925 |
923 |
$146K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
1,123 |
1,122 |
$140K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
1,014 |
550 |
$129K |
| 92567 |
|
3,381 |
3,307 |
$105K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
592 |
524 |
$60K |
| 30140 |
|
102 |
52 |
$23K |
| 99223 |
Prolong inpt eval add15 m |
146 |
143 |
$17K |
| Z4306 |
|
238 |
238 |
$12K |
| 30930 |
|
49 |
25 |
$3K |
| 42830 |
|
13 |
13 |
$2K |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$1K |
| 92504 |
|
40 |
39 |
$934.07 |
| X4540 |
|
40 |
40 |
$908.40 |