| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
845 |
693 |
$18K |
| 11721 |
|
4,789 |
4,625 |
$14K |
| 11057 |
|
251 |
236 |
$6K |
| 11056 |
|
1,174 |
1,121 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
169 |
143 |
$3K |
| 99348 |
|
879 |
826 |
$3K |
| 11055 |
|
488 |
475 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
48 |
41 |
$1K |
| 99334 |
|
30 |
28 |
$416.42 |
| 99347 |
|
345 |
334 |
$406.08 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
22 |
16 |
$393.74 |
| 99307 |
|
165 |
165 |
$169.07 |
| 11730 |
|
36 |
36 |
$62.06 |
| 99304 |
|
13 |
12 |
$47.35 |
| 99342 |
|
29 |
28 |
$45.69 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22 |
22 |
$0.00 |