| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99243 |
|
852 |
851 |
$114K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
543 |
541 |
$32K |
| 31231 |
|
84 |
84 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
155 |
154 |
$13K |
| S9999 |
Sales tax |
389 |
336 |
$7K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
26 |
26 |
$7K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
12 |
12 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
26 |
$1K |
| 69210 |
|
12 |
12 |
$435.87 |