| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
379 |
375 |
$33K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
511 |
506 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
715 |
689 |
$23K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
41 |
41 |
$9K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
26 |
21 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
39 |
38 |
$2K |
| 92557 |
|
40 |
39 |
$974.64 |
| 92550 |
|
43 |
42 |
$620.16 |
| 99024 |
|
253 |
235 |
$0.00 |