| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 11721 |
|
7,262 |
6,887 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
216 |
188 |
$3K |
| 11056 |
|
117 |
114 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$639.04 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
41 |
39 |
$425.50 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
12 |
$331.98 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$239.11 |
| 11055 |
|
12 |
12 |
$48.62 |
| 1101F |
|
184 |
180 |
$0.00 |