| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,378 |
1,316 |
$114K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,383 |
1,311 |
$69K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,071 |
1,021 |
$34K |
| 11102 |
|
446 |
431 |
$28K |
| 11900 |
|
105 |
97 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
339 |
324 |
$17K |
| 11104 |
|
121 |
112 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
135 |
133 |
$5K |
| 17110 |
|
69 |
66 |
$4K |
| 11103 |
|
57 |
56 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
26 |
$702.00 |
| 81025 |
|
15 |
15 |
$0.00 |