| Code | Description | Claims | Beneficiaries | Total Paid |
| 99243 |
|
1,688 |
1,396 |
$156K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
820 |
748 |
$107K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,362 |
1,110 |
$47K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
183 |
164 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
232 |
209 |
$14K |
| 31231 |
|
70 |
44 |
$7K |
| 31622 |
|
14 |
12 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
69 |
69 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$982.24 |
| 69210 |
|
22 |
14 |
$478.29 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
18 |
12 |
$301.76 |