| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,019 |
945 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
236 |
202 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
271 |
229 |
$8K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
12 |
12 |
$3K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
16 |
12 |
$2K |
| 92550 |
|
50 |
41 |
$700.95 |
| 92557 |
|
22 |
16 |
$471.56 |
| 99220 |
|
13 |
12 |
$368.85 |
| G8484 |
Influenza immunization was not administered, reason not given |
254 |
203 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
277 |
220 |
$0.00 |
| 99024 |
|
216 |
194 |
$0.00 |