| Code | Description | Claims | Beneficiaries | Total Paid |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
319 |
316 |
$76K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
688 |
678 |
$64K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
826 |
807 |
$48K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
438 |
430 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
743 |
728 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
420 |
401 |
$15K |
| 92504 |
|
428 |
405 |
$8K |
| 69210 |
|
207 |
193 |
$6K |
| 95117 |
|
615 |
339 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$706.56 |
| 99024 |
|
482 |
473 |
$0.00 |