| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,554 |
2,128 |
$39K |
| 99344 |
|
1,459 |
808 |
$35K |
| 99349 |
|
1,511 |
761 |
$25K |
| 99342 |
|
2,466 |
1,219 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,950 |
1,105 |
$18K |
| 99348 |
|
1,844 |
834 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
418 |
279 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
341 |
235 |
$9K |
| 99345 |
Prolong home eval add 15m |
221 |
134 |
$8K |
| 99350 |
Prolong home eval add 15m |
264 |
153 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
905 |
404 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
725 |
263 |
$3K |
| 99341 |
|
197 |
95 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
418 |
141 |
$1K |
| 99347 |
|
142 |
66 |
$662.86 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
187 |
106 |
$371.50 |
| 51702 |
|
25 |
12 |
$280.30 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
392 |
183 |
$87.32 |
| 82947 |
|
590 |
273 |
$31.26 |
| T2003 |
Non-emergency transportation; encounter/trip |
50 |
17 |
$0.00 |