| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,258 |
1,228 |
$150K |
| 99243 |
|
388 |
388 |
$60K |
| 54161 |
|
62 |
60 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
104 |
100 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
13 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
27 |
27 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
15 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$963.23 |