| Code | Description | Claims | Beneficiaries | Total Paid |
| 96910 |
|
735 |
143 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
282 |
274 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
84 |
84 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
185 |
180 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
212 |
210 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
88 |
88 |
$1K |
| 17110 |
|
13 |
12 |
$658.54 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$320.32 |
| G9969 |
Clinician who referred the patient to another clinician received a report from the clinician to whom the patient was referred |
882 |
872 |
$0.00 |