| Code | Description | Claims | Beneficiaries | Total Paid |
| 73630 |
|
915 |
672 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
431 |
389 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
532 |
472 |
$9K |
| 11721 |
|
471 |
456 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
48 |
47 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
187 |
173 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
77 |
68 |
$2K |
| 11056 |
|
74 |
65 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
30 |
29 |
$748.30 |
| 11719 |
|
70 |
65 |
$316.16 |
| 11720 |
|
24 |
24 |
$90.20 |
| 11055 |
|
13 |
13 |
$51.43 |