| Code | Description | Claims | Beneficiaries | Total Paid |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
79 |
79 |
$13K |
| 99243 |
|
87 |
87 |
$10K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
25 |
25 |
$5K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
15 |
15 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46 |
46 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$1K |
| 92567 |
|
29 |
26 |
$446.28 |