| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,828 |
1,780 |
$89K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
760 |
760 |
$66K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
232 |
230 |
$15K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
153 |
153 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
371 |
370 |
$13K |
| 43235 |
|
55 |
53 |
$3K |
| 99205 |
Prolong outpt/office vis |
28 |
28 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
38 |
37 |
$3K |
| 92015 |
Determination of refractive state |
12 |
12 |
$150.12 |
| 99072 |
|
93 |
93 |
$58.59 |