| Code | Description | Claims | Beneficiaries | Total Paid |
| 99243 |
|
148 |
145 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
221 |
206 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
109 |
104 |
$4K |
| 31231 |
|
27 |
27 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
70 |
69 |
$2K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
13 |
13 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$626.72 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
26 |
$593.38 |
| 92557 |
|
13 |
13 |
$472.67 |
| 69210 |
|
24 |
24 |
$365.23 |
| 92567 |
|
13 |
13 |
$197.60 |
| 3078F |
|
45 |
38 |
$0.00 |
| 3008F |
|
257 |
231 |
$0.00 |
| 3074F |
|
55 |
49 |
$0.00 |