| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
448 |
436 |
$32K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
69 |
69 |
$18K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
76 |
70 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
309 |
298 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
284 |
283 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
85 |
85 |
$4K |