| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
864 |
762 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,205 |
972 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
228 |
186 |
$12K |
| 43775 |
|
12 |
12 |
$8K |
| 99233 |
Prolong inpt eval add15 m |
28 |
12 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
65 |
58 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
36 |
25 |
$1K |
| 99024 |
|
680 |
541 |
$0.00 |