| Code | Description | Claims | Beneficiaries | Total Paid |
| 95886 |
|
2,924 |
2,913 |
$529K |
| 95910 |
|
2,289 |
2,281 |
$436K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,410 |
4,398 |
$385K |
| 95819 |
|
2,814 |
2,798 |
$279K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,930 |
4,768 |
$176K |
| 95816 |
|
1,221 |
1,178 |
$101K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
263 |
261 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
281 |
277 |
$14K |
| 95909 |
|
78 |
78 |
$10K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
61 |
61 |
$7K |
| 99215 |
Prolong outpt/office vis |
31 |
31 |
$3K |
| 95822 |
|
34 |
28 |
$990.31 |
| 1036F |
|
41 |
41 |
$0.00 |