| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,973 |
5,917 |
$547K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,694 |
5,638 |
$363K |
| 17110 |
|
983 |
971 |
$81K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
957 |
957 |
$59K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
586 |
586 |
$49K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
223 |
223 |
$28K |
| 11100 |
|
37 |
37 |
$3K |
| 11104 |
|
26 |
26 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
26 |
$763.98 |
| 17000 |
|
12 |
12 |
$476.30 |