| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,348 |
1,187 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
197 |
174 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
239 |
215 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
30 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
80 |
24 |
$2K |
| 81003 |
|
613 |
505 |
$1K |
| 51798 |
|
24 |
24 |
$342.40 |