| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
87 |
85 |
$0.07 |
| 99499 |
|
131 |
131 |
$0.00 |
| 1160F |
|
573 |
552 |
$0.00 |
| 1158F |
|
156 |
155 |
$0.00 |
| 3078F |
|
246 |
243 |
$0.00 |
| 1159F |
|
574 |
553 |
$0.00 |
| 3725F |
|
393 |
390 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
38 |
38 |
$0.00 |
| 3288F |
|
14 |
13 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |
| 96127 |
|
326 |
325 |
$0.00 |
| 1036F |
|
456 |
447 |
$0.00 |
| 3008F |
|
588 |
574 |
$0.00 |
| 3075F |
|
15 |
15 |
$0.00 |
| 3074F |
|
79 |
79 |
$0.00 |
| 1125F |
|
57 |
56 |
$0.00 |
| 1126F |
|
130 |
130 |
$0.00 |
| 1170F |
|
182 |
181 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
15 |
$0.00 |