| Code | Description | Claims | Beneficiaries | Total Paid |
| 54150 |
|
3,617 |
3,616 |
$368K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,833 |
1,833 |
$262K |
| 99221 |
|
2,486 |
2,485 |
$215K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,225 |
2,224 |
$213K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,619 |
1,604 |
$162K |
| 76770 |
|
1,588 |
1,587 |
$143K |
| 54360 |
|
198 |
198 |
$121K |
| 99205 |
Prolong outpt/office vis |
300 |
300 |
$54K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
956 |
954 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
353 |
350 |
$27K |
| 54161 |
|
94 |
94 |
$13K |
| 51741 |
|
611 |
611 |
$8K |
| 14040 |
|
27 |
27 |
$7K |
| 54300 |
|
12 |
12 |
$3K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 51798 |
|
52 |
52 |
$451.75 |