| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
244 |
216 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
221 |
195 |
$7K |
| 62370 |
|
236 |
176 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
73 |
63 |
$724.17 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31 |
28 |
$582.31 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
89 |
27 |
$555.43 |
| 80305 |
|
43 |
37 |
$260.49 |