| Code | Description | Claims | Beneficiaries | Total Paid |
| 31231 |
|
2,265 |
2,014 |
$224K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,664 |
2,311 |
$99K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,022 |
1,910 |
$93K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,445 |
1,300 |
$90K |
| 99243 |
|
823 |
677 |
$67K |
| 92567 |
|
1,256 |
1,095 |
$18K |
| 92557 |
|
181 |
145 |
$6K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
25 |
25 |
$5K |
| 92587 |
|
326 |
264 |
$4K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
19 |
13 |
$2K |
| 69210 |
|
15 |
13 |
$301.21 |
| 92552 |
|
13 |
13 |
$230.23 |