| Code | Description | Claims | Beneficiaries | Total Paid |
| 95819 |
|
93 |
93 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
309 |
307 |
$17K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
170 |
170 |
$14K |
| 92546 |
|
111 |
83 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
77 |
76 |
$7K |
| 93880 |
|
35 |
35 |
$6K |
| 92545 |
|
98 |
71 |
$4K |
| 96132 |
|
45 |
45 |
$4K |
| 92542 |
|
71 |
71 |
$4K |
| 92541 |
|
71 |
71 |
$3K |
| 93886 |
|
16 |
16 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
59 |
58 |
$2K |
| 92544 |
|
71 |
71 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
30 |
$2K |
| 96138 |
|
44 |
44 |
$1K |
| 96139 |
|
44 |
44 |
$1K |
| 92537 |
|
27 |
27 |
$891.00 |
| 99080 |
|
2,239 |
222 |
$0.00 |