| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
504 |
493 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
571 |
540 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
399 |
381 |
$21K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
129 |
67 |
$6K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
29 |
28 |
$4K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
13 |
13 |
$3K |
| 92567 |
|
12 |
12 |
$324.51 |