| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,398 |
2,393 |
$78K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,334 |
2,290 |
$49K |
| 99223 |
Prolong inpt eval add15 m |
184 |
178 |
$11K |
| 47562 |
|
38 |
38 |
$6K |
| 99215 |
Prolong outpt/office vis |
178 |
176 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
129 |
129 |
$3K |
| 49568 |
|
24 |
24 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
101 |
101 |
$698.18 |