| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
703 |
672 |
$71K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,381 |
1,266 |
$60K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
418 |
393 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
578 |
539 |
$36K |
| 42830 |
|
223 |
214 |
$22K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
84 |
82 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
207 |
190 |
$12K |
| 69210 |
|
559 |
445 |
$11K |
| 92567 |
|
428 |
375 |
$5K |
| 92557 |
|
134 |
115 |
$4K |