| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 31231 |
|
374 |
355 |
$47K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
160 |
160 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
138 |
138 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
96 |
92 |
$6K |
| 92587 |
|
92 |
91 |
$3K |
| 92557 |
|
91 |
90 |
$3K |
| 92550 |
|
119 |
117 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$892.71 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
25 |
12 |
$666.71 |
| 69210 |
|
14 |
13 |
$498.69 |
| 95117 |
|
24 |
13 |
$190.72 |