| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
342 |
331 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
400 |
380 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
334 |
289 |
$9K |
| 17110 |
|
105 |
102 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
90 |
80 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
108 |
108 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
211 |
206 |
$3K |
| 17000 |
|
69 |
54 |
$3K |
| 99205 |
Prolong outpt/office vis |
25 |
25 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$806.67 |
| 17003 |
|
12 |
12 |
$154.28 |