| Code | Description | Claims | Beneficiaries | Total Paid |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
317 |
306 |
$100K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
379 |
366 |
$88K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
578 |
543 |
$46K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
190 |
175 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
274 |
265 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
49 |
44 |
$4K |