| Code | Description | Claims | Beneficiaries | Total Paid |
| 31231 |
|
734 |
666 |
$78K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
844 |
790 |
$52K |
| 31237 |
|
157 |
73 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
715 |
656 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
72 |
61 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
50 |
49 |
$6K |
| 69210 |
|
65 |
55 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
160 |
138 |
$4K |
| 31575 |
|
13 |
12 |
$824.99 |