| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$448.08 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
100 |
79 |
$442.94 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,029 |
746 |
$80.06 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
138 |
138 |
$0.00 |
| S9083 |
Global fee urgent care centers |
121 |
96 |
$0.00 |