| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,017 |
858 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
618 |
535 |
$23K |
| 31231 |
|
127 |
106 |
$8K |
| 92567 |
|
547 |
465 |
$4K |
| 92587 |
|
210 |
170 |
$3K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
15 |
15 |
$2K |
| 92552 |
|
126 |
114 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
26 |
$1K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
12 |
12 |
$1K |
| 92553 |
|
51 |
47 |
$484.95 |
| 31575 |
|
19 |
15 |
$405.74 |
| 92504 |
|
17 |
16 |
$291.83 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
14 |
$253.88 |
| 92588 |
|
13 |
13 |
$230.74 |
| 1160F |
|
176 |
139 |
$230.00 |
| 1159F |
|
176 |
139 |
$230.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$144.55 |
| 3008F |
|
157 |
126 |
$140.00 |