| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,679 |
1,605 |
$51K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
327 |
324 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
157 |
156 |
$18K |
| 92567 |
|
944 |
934 |
$15K |
| 69210 |
|
397 |
391 |
$6K |
| 92557 |
|
54 |
53 |
$2K |
| 31231 |
|
13 |
13 |
$860.05 |
| 92587 |
|
12 |
12 |
$560.92 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$532.38 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
43 |
43 |
$455.14 |
| 31575 |
|
12 |
12 |
$426.19 |
| 92504 |
|
15 |
13 |
$96.91 |