| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
844 |
489 |
$605K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
386 |
177 |
$277K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
231 |
169 |
$166K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
58 |
58 |
$42K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
49 |
49 |
$35K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12 |
12 |
$9K |