| Code | Description | Claims | Beneficiaries | Total Paid |
| 99243 |
|
167 |
160 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
84 |
79 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
210 |
168 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
100 |
82 |
$4K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
30 |
15 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
37 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
13 |
12 |
$1K |
| 95117 |
|
25 |
12 |
$264.89 |