| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
262 |
241 |
$17K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
53 |
50 |
$10K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
75 |
73 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
201 |
185 |
$6K |
| 99243 |
|
60 |
52 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
124 |
123 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
26 |
$1K |