| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
587 |
585 |
$94K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
230 |
211 |
$74K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
250 |
250 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
271 |
262 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
199 |
186 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
97 |
97 |
$15K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
37 |
37 |
$14K |
| 92579 |
|
424 |
422 |
$10K |
| 42830 |
|
108 |
91 |
$10K |
| 92567 |
|
910 |
900 |
$6K |
| 92555 |
|
111 |
110 |
$209.34 |
| 92504 |
|
53 |
52 |
$118.54 |
| 92552 |
|
91 |
89 |
$0.00 |