| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,103 |
999 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
198 |
193 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
229 |
215 |
$3K |
| 99219 |
|
61 |
61 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
12 |
$653.18 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
28 |
12 |
$199.20 |
| 1159F |
|
111 |
62 |
$0.00 |
| 1160F |
|
111 |
62 |
$0.00 |
| 3008F |
|
74 |
42 |
$0.00 |
| 3074F |
|
24 |
13 |
$0.00 |