| Code | Description | Claims | Beneficiaries | Total Paid |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
477 |
475 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
223 |
223 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
128 |
128 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
122 |
114 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
211 |
188 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
135 |
129 |
$3K |
| 99000 |
|
696 |
651 |
$2K |
| 99072 |
|
480 |
446 |
$864.00 |
| 81003 |
|
12 |
12 |
$17.44 |