| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,539 |
3,151 |
$127K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
794 |
714 |
$60K |
| 11102 |
|
1,406 |
1,213 |
$37K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
155 |
147 |
$13K |
| 17110 |
|
194 |
171 |
$7K |
| 11103 |
|
326 |
286 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
109 |
102 |
$5K |
| 13101 |
|
14 |
12 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
16 |
$1K |
| 17000 |
|
133 |
107 |
$1K |