| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,021 |
1,896 |
$125K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
378 |
378 |
$103K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
712 |
695 |
$65K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
138 |
138 |
$48K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
329 |
329 |
$48K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
452 |
451 |
$44K |
| 92567 |
|
1,393 |
1,378 |
$19K |
| 42830 |
|
43 |
43 |
$9K |
| 92552 |
|
289 |
288 |
$8K |
| 92579 |
|
193 |
192 |
$6K |
| 69610 |
|
14 |
14 |
$6K |
| 69210 |
|
150 |
144 |
$5K |
| 92556 |
|
107 |
107 |
$4K |
| 31575 |
|
24 |
24 |
$3K |
| 92504 |
|
364 |
342 |
$2K |
| 92555 |
|
69 |
69 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
30 |
$1K |
| 94760 |
|
55 |
55 |
$17.70 |