| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,344 |
1,283 |
$93K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,582 |
2,356 |
$87K |
| 92557 |
|
697 |
666 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
491 |
443 |
$25K |
| 92567 |
|
1,010 |
964 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
143 |
138 |
$14K |
| 69210 |
|
446 |
421 |
$9K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
27 |
25 |
$4K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
15 |
14 |
$4K |