| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,939 |
6,444 |
$506K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,531 |
1,970 |
$121K |
| 99215 |
Prolong outpt/office vis |
230 |
203 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
14 |
$90.69 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
38 |
35 |
$26.02 |