| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
134 |
133 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
34 |
34 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
47 |
46 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40 |
40 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
30 |
30 |
$944.37 |