| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,206 |
14,754 |
$881K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,920 |
1,884 |
$173K |
| 93922 |
|
327 |
317 |
$18K |
| 82962 |
|
9,172 |
8,707 |
$14K |
| 76536 |
|
95 |
94 |
$6K |
| 95251 |
|
280 |
278 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54 |
41 |
$2K |
| 10022 |
|
19 |
14 |
$2K |
| 93000 |
|
188 |
184 |
$2K |
| 76942 |
|
14 |
14 |
$541.76 |
| A4209 |
Syringe with needle, sterile 5 cc or greater, each |
14 |
14 |
$0.93 |
| A4215 |
Needle, sterile, any size, each |
14 |
14 |
$0.06 |
| 99000 |
|
16 |
14 |
$0.00 |