| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
530 |
527 |
$66K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
659 |
636 |
$41K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
143 |
142 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
147 |
140 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
91 |
90 |
$8K |
| 92567 |
|
422 |
417 |
$5K |
| 92557 |
|
128 |
127 |
$4K |
| 92579 |
|
39 |
39 |
$1K |
| 92587 |
|
39 |
39 |
$654.32 |