| Code | Description | Claims | Beneficiaries | Total Paid |
| 31231 |
|
1,635 |
1,588 |
$256K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,303 |
1,286 |
$119K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,416 |
1,352 |
$96K |
| 31237 |
|
240 |
167 |
$79K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,437 |
1,333 |
$65K |
| 92557 |
|
1,414 |
1,383 |
$39K |
| 92567 |
|
2,759 |
2,672 |
$36K |
| 30140 |
|
161 |
158 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
268 |
262 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
369 |
341 |
$11K |
| 70486 |
|
89 |
81 |
$4K |
| 31579 |
|
26 |
26 |
$4K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
14 |
14 |
$3K |
| 92579 |
|
16 |
15 |
$636.57 |