| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
538 |
480 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
157 |
138 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
137 |
132 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
41 |
$2K |
| 51728 |
|
12 |
12 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
62 |
62 |
$1K |
| 99215 |
Prolong outpt/office vis |
21 |
19 |
$876.72 |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$802.96 |
| 51741 |
|
28 |
28 |
$740.95 |
| 51797 |
|
12 |
12 |
$460.80 |
| 81002 |
|
146 |
130 |
$330.06 |
| 51784 |
|
12 |
12 |
$309.98 |
| 51798 |
|
17 |
17 |
$241.35 |