| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
787 |
727 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
446 |
441 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
97 |
97 |
$9K |
| 11721 |
|
114 |
113 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
12 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$658.28 |
| 73630 |
|
15 |
13 |
$349.57 |