| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,358 |
3,031 |
$173K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
902 |
812 |
$65K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
553 |
507 |
$39K |
| 11104 |
|
163 |
145 |
$13K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
263 |
252 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
100 |
96 |
$10K |
| 11102 |
|
29 |
27 |
$2K |
| 99201 |
|
51 |
49 |
$1K |
| 17110 |
|
12 |
12 |
$742.77 |
| 11105 |
|
13 |
12 |
$706.61 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$466.50 |
| 11100 |
|
12 |
12 |
$0.00 |