| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,029 |
3,007 |
$209K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,479 |
3,975 |
$197K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,319 |
1,212 |
$85K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
174 |
174 |
$17K |
| 99442 |
|
192 |
186 |
$11K |
| 11900 |
|
279 |
275 |
$8K |
| 17110 |
|
70 |
67 |
$4K |
| 95044 |
|
12 |
12 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
38 |
37 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
50 |
50 |
$2K |
| 99441 |
|
68 |
64 |
$2K |
| 11100 |
|
24 |
24 |
$939.16 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
68 |
68 |
$242.48 |