| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
195 |
175 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
202 |
183 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
241 |
210 |
$9K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
18 |
17 |
$2K |
| 69210 |
|
17 |
13 |
$294.07 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$261.07 |