| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,525 |
2,488 |
$103K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
593 |
430 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
264 |
238 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
724 |
510 |
$8K |
| 99183 |
|
89 |
36 |
$5K |
| 93971 |
|
205 |
194 |
$5K |
| 93925 |
|
81 |
79 |
$4K |
| 93970 |
|
75 |
68 |
$2K |
| 93880 |
|
28 |
28 |
$797.20 |
| 93926 |
|
28 |
26 |
$774.09 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$680.57 |
| G8916 |
Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time |
111 |
87 |
$0.00 |