| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,979 |
2,971 |
$171K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,011 |
3,960 |
$170K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,686 |
2,564 |
$148K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,724 |
1,685 |
$144K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,855 |
4,772 |
$137K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,129 |
3,126 |
$127K |
| 31575 |
|
2,086 |
2,053 |
$124K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,398 |
1,334 |
$97K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
510 |
337 |
$69K |
| 31231 |
|
583 |
582 |
$59K |
| 30520 |
|
154 |
148 |
$48K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
325 |
320 |
$35K |
| 92550 |
|
3,111 |
3,060 |
$35K |
| 92557 |
|
1,814 |
1,772 |
$35K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
150 |
150 |
$25K |
| 92553 |
|
1,011 |
994 |
$20K |
| 95115 |
|
4,160 |
1,351 |
$18K |
| 92555 |
|
1,089 |
1,072 |
$13K |
| 69210 |
|
386 |
362 |
$9K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
192 |
172 |
$7K |
| 95024 |
|
16 |
14 |
$3K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
12 |
12 |
$2K |
| 30901 |
|
14 |
13 |
$1K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$730.98 |
| 92653 |
|
12 |
12 |
$603.84 |
| 69205 |
|
13 |
12 |
$566.54 |
| V5267 |
Hearing aid or assistive listening device/supplies/accessories, not otherwise specified |
13 |
13 |
$478.40 |
| 92587 |
|
37 |
37 |
$434.88 |
| V5266 |
Battery for use in hearing device |
13 |
13 |
$431.76 |