| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
82 |
82 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
79 |
78 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
33 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$686.61 |
| 1160F |
|
12 |
12 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
12 |
12 |
$0.00 |
| 1036F |
|
12 |
12 |
$0.00 |