| Code | Description | Claims | Beneficiaries | Total Paid |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,401 |
1,190 |
$78K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
505 |
420 |
$31K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
29 |
29 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
50 |
50 |
$10K |
| 92567 |
|
1,795 |
1,468 |
$9K |
| 92587 |
|
933 |
758 |
$5K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
32 |
32 |
$4K |
| 69210 |
|
75 |
70 |
$955.53 |
| 31231 |
|
70 |
70 |
$866.94 |
| 43753 |
|
112 |
112 |
$92.71 |