| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
456 |
446 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
509 |
481 |
$31K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
68 |
68 |
$14K |
| 92567 |
|
462 |
447 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
123 |
121 |
$5K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
12 |
12 |
$3K |
| 99243 |
|
12 |
12 |
$1K |
| 92557 |
|
16 |
16 |
$495.48 |
| 92587 |
|
14 |
14 |
$394.34 |
| 92553 |
|
13 |
13 |
$219.24 |
| 92555 |
|
20 |
20 |
$195.57 |