| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
766 |
696 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
893 |
822 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
211 |
191 |
$15K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
114 |
56 |
$11K |
| 92567 |
|
771 |
724 |
$10K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
18 |
14 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
125 |
120 |
$3K |
| 92557 |
|
43 |
41 |
$2K |
| 92587 |
|
16 |
15 |
$929.46 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$837.17 |
| 95115 |
|
57 |
37 |
$559.83 |