| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
551 |
542 |
$84K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
243 |
229 |
$31K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
711 |
625 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
195 |
193 |
$18K |
| 99243 |
|
219 |
152 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
59 |
56 |
$5K |
| 73110 |
|
131 |
107 |
$4K |
| 73130 |
|
21 |
14 |
$821.23 |
| 72100 |
|
12 |
12 |
$322.32 |
| 73562 |
|
12 |
12 |
$236.34 |