| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
714 |
693 |
$114K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
230 |
229 |
$67K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
306 |
299 |
$32K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
70 |
70 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
249 |
243 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
75 |
75 |
$15K |
| 92579 |
|
402 |
401 |
$9K |
| 42830 |
|
14 |
13 |
$6K |
| 92567 |
|
808 |
800 |
$4K |
| 92504 |
|
56 |
56 |
$334.48 |
| 92555 |
|
145 |
143 |
$68.94 |
| 92552 |
|
63 |
63 |
$0.00 |