| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,645 |
1,483 |
$84K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,607 |
2,773 |
$72K |
| 15002 |
|
130 |
86 |
$5K |
| 15003 |
|
13 |
12 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
479 |
409 |
$5K |
| 16000 |
|
105 |
87 |
$3K |
| 16020 |
|
48 |
32 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
41 |
14 |
$800.10 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20 |
12 |
$523.83 |
| 15004 |
|
14 |
13 |
$195.26 |
| 99024 |
|
647 |
339 |
$0.00 |