| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,201 |
1,115 |
$43K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
576 |
568 |
$30K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
89 |
89 |
$11K |
| 92557 |
|
361 |
351 |
$6K |
| 31575 |
|
106 |
103 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
96 |
94 |
$5K |
| 92567 |
|
586 |
568 |
$4K |
| 92553 |
|
100 |
96 |
$2K |
| 31579 |
|
12 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
31 |
$632.42 |