| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
721 |
608 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
98 |
85 |
$5K |
| 72100 |
|
171 |
157 |
$3K |
| 73630 |
|
174 |
121 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
12 |
$453.12 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37 |
32 |
$196.32 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
50 |
12 |
$102.28 |