| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,662 |
6,071 |
$182K |
| 17110 |
|
1,976 |
1,427 |
$139K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,072 |
1,876 |
$87K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,889 |
1,718 |
$80K |
| 99243 |
|
1,064 |
995 |
$80K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
527 |
502 |
$39K |
| 11102 |
|
377 |
346 |
$20K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
411 |
348 |
$14K |
| 17111 |
|
80 |
63 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
318 |
229 |
$5K |
| 99242 |
|
33 |
32 |
$2K |
| 11104 |
|
12 |
12 |
$1K |
| E1399 |
Durable medical equipment, miscellaneous |
21 |
17 |
$330.00 |
| 11100 |
|
29 |
27 |
$292.88 |
| 99072 |
|
10,388 |
8,080 |
$0.00 |