| Code | Description | Claims | Beneficiaries | Total Paid |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
34 |
26 |
$84.06 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
180 |
118 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
181 |
111 |
$0.00 |
| 17110 |
|
53 |
30 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
498 |
335 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
385 |
255 |
$0.00 |
| 11102 |
|
106 |
61 |
$0.00 |