| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,645 |
2,867 |
$129K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
749 |
343 |
$84K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,468 |
1,270 |
$84K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
610 |
485 |
$49K |
| 99243 |
|
593 |
519 |
$43K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
172 |
113 |
$32K |
| 92567 |
|
554 |
492 |
$6K |
| 92557 |
|
25 |
24 |
$663.12 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
41 |
29 |
$0.00 |
| 1036F |
|
53 |
40 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
53 |
40 |
$0.00 |
| 3017F |
|
12 |
12 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
49 |
40 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
23 |
12 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
24 |
12 |
$0.00 |