| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,625 |
1,406 |
$131K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
702 |
626 |
$83K |
| 92567 |
|
1,574 |
1,445 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
186 |
164 |
$9K |
| 92557 |
|
237 |
225 |
$8K |
| 69210 |
|
45 |
40 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$1K |
| 92504 |
|
27 |
24 |
$645.48 |
| 92552 |
|
12 |
12 |
$419.52 |
| 99072 |
|
473 |
404 |
$0.00 |