| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
245 |
227 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
370 |
322 |
$24K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
92 |
86 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
139 |
123 |
$6K |
| 69210 |
|
239 |
169 |
$5K |
| 42830 |
|
32 |
32 |
$3K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
12 |
12 |
$3K |
| 92567 |
|
102 |
91 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
14 |
$808.38 |
| 92557 |
|
18 |
16 |
$576.17 |