| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
166 |
164 |
$6K |
| 00813 |
|
33 |
30 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
183 |
179 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
21 |
16 |
$279.72 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
311 |
178 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32 |
31 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$0.00 |
| 88313 |
|
24 |
12 |
$0.00 |