| Code | Description | Claims | Beneficiaries | Total Paid |
| 99215 |
Prolong outpt/office vis |
634 |
347 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
57 |
57 |
$17K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
67 |
57 |
$11K |
| 99245 |
|
129 |
129 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28 |
27 |
$4K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
193 |
193 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$1K |
| 99000 |
|
110 |
108 |
$399.22 |
| 81025 |
|
63 |
62 |
$175.70 |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
31 |
31 |
$113.46 |
| 83986 |
|
31 |
31 |
$83.86 |
| 97804 |
|
91 |
42 |
$41.31 |
| S9470 |
Nutritional counseling, dietitian visit |
21 |
12 |
$0.00 |