| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
281 |
264 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
97 |
85 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48 |
47 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12 |
12 |
$438.46 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$337.12 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
13 |
13 |
$0.00 |