| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
807 |
754 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
278 |
248 |
$17K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
218 |
169 |
$10K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
256 |
202 |
$8K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
95 |
73 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
217 |
158 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
164 |
123 |
$6K |