| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,634 |
3,515 |
$181K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,589 |
1,500 |
$122K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
908 |
863 |
$106K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,249 |
1,235 |
$98K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
755 |
739 |
$24K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
355 |
349 |
$19K |
| 17110 |
|
141 |
139 |
$9K |
| A4550 |
Surgical trays |
305 |
292 |
$8K |
| 11102 |
|
31 |
29 |
$2K |
| 11104 |
|
12 |
12 |
$1K |
| 99000 |
|
293 |
283 |
$0.00 |