| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,363 |
4,242 |
$118K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
243 |
243 |
$13K |
| 81001 |
|
2,189 |
2,065 |
$3K |
| 52000 |
|
29 |
29 |
$3K |
| 51798 |
|
310 |
309 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
25 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$1K |
| 81003 |
|
980 |
949 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
251 |
237 |
$867.37 |
| 99442 |
|
43 |
41 |
$406.44 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$285.20 |
| 84153 |
|
16 |
16 |
$100.22 |