| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,163 |
1,053 |
$50K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
288 |
277 |
$31K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
327 |
174 |
$27K |
| 99205 |
Prolong outpt/office vis |
151 |
146 |
$19K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
90 |
80 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
236 |
216 |
$16K |
| 99215 |
Prolong outpt/office vis |
120 |
110 |
$10K |
| 42830 |
|
12 |
12 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18 |
18 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
14 |
12 |
$878.13 |
| 69210 |
|
26 |
13 |
$473.20 |