| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,714 |
3,401 |
$160K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
828 |
819 |
$47K |
| 11721 |
|
1,497 |
1,480 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
512 |
354 |
$24K |
| 73630 |
|
1,063 |
966 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
145 |
145 |
$12K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
134 |
63 |
$5K |
| 17110 |
|
66 |
54 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$833.52 |