| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
75 |
72 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
105 |
97 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
12 |
$906.59 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
23 |
22 |
$706.60 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21 |
21 |
$668.50 |