| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,759 |
3,511 |
$226K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,503 |
1,432 |
$145K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
965 |
949 |
$137K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,052 |
1,029 |
$95K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
227 |
222 |
$45K |
| 31231 |
|
214 |
212 |
$30K |
| 69210 |
|
425 |
397 |
$12K |
| 95115 |
|
1,353 |
603 |
$9K |
| 95117 |
|
1,121 |
526 |
$8K |
| 92567 |
|
784 |
771 |
$7K |
| 92557 |
|
240 |
239 |
$5K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
34 |
34 |
$5K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
28 |
28 |
$4K |
| 92550 |
|
42 |
41 |
$473.88 |
| 99024 |
|
107 |
103 |
$0.00 |