| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
162 |
143 |
$4K |
| 99401 |
|
193 |
167 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
123 |
115 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$2K |
| 99385 |
|
14 |
14 |
$719.55 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$656.28 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
35 |
33 |
$577.04 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
35 |
31 |
$0.00 |