| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
307 |
270 |
$12K |
| 92567 |
|
349 |
273 |
$4K |
| 92557 |
|
116 |
92 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
34 |
26 |
$2K |
| 99242 |
|
43 |
39 |
$2K |
| 99243 |
|
24 |
24 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46 |
39 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
29 |
28 |
$914.88 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$361.80 |
| V5266 |
Battery for use in hearing device |
31 |
27 |
$307.80 |