| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
364 |
352 |
$11K |
| 99443 |
|
130 |
121 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
64 |
64 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
96 |
95 |
$4K |
| 99442 |
|
84 |
78 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$2K |
| 99441 |
|
84 |
79 |
$2K |
| 99490 |
Ccm add 20min |
45 |
45 |
$437.90 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
72 |
59 |
$229.70 |
| 1159F |
|
138 |
120 |
$10.00 |
| 3077F |
|
30 |
29 |
$0.00 |