| Code | Description | Claims | Beneficiaries | Total Paid |
| 43775 |
|
581 |
495 |
$414K |
| 99205 |
Prolong outpt/office vis |
3,413 |
3,064 |
$316K |
| 99215 |
Prolong outpt/office vis |
782 |
662 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
536 |
507 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
879 |
724 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
363 |
325 |
$24K |
| 99402 |
|
510 |
367 |
$8K |
| 64488 |
|
232 |
174 |
$655.25 |
| G4017 |
Nutrition/dietician mips specialty set |
102 |
48 |
$157.50 |
| S9470 |
Nutritional counseling, dietitian visit |
109 |
48 |
$132.99 |
| 99245 |
|
162 |
121 |
$0.00 |
| S0260 |
History and physical (outpatient or office) related to surgical procedure (list separately in addition to code for appropriate evaluation and management service) |
784 |
512 |
$0.00 |
| 99024 |
|
2,075 |
1,984 |
$0.00 |