| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,463 |
3,106 |
$156K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
824 |
808 |
$58K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
73 |
73 |
$13K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
36 |
36 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
56 |
53 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |