| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,945 |
1,638 |
$62K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
948 |
846 |
$57K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,221 |
1,021 |
$30K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
205 |
193 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
94 |
80 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
90 |
82 |
$4K |
| 73110 |
|
143 |
106 |
$2K |
| 73560 |
|
66 |
55 |
$1K |
| 99243 |
|
14 |
13 |
$1K |
| A4590 |
Special casting material (e.g., fiberglass) |
12 |
12 |
$17.82 |