| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
181 |
177 |
$45K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
204 |
185 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
183 |
179 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
189 |
143 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
116 |
105 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
48 |
47 |
$4K |
| 69210 |
|
76 |
54 |
$2K |
| 31575 |
|
12 |
12 |
$1K |