| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
388 |
356 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
531 |
488 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
67 |
62 |
$1K |
| T1015 |
Clinic visit/encounter, all-inclusive |
15 |
15 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
27 |
26 |
$418.11 |
| 1159F |
|
19 |
18 |
$0.00 |
| 3078F |
|
202 |
185 |
$0.00 |
| 1160F |
|
17 |
16 |
$0.00 |
| 3074F |
|
226 |
202 |
$0.00 |
| 3079F |
|
94 |
84 |
$0.00 |
| 3008F |
|
15 |
15 |
$0.00 |
| 3075F |
|
15 |
14 |
$0.00 |
| 2000F |
|
58 |
50 |
$0.00 |