| Code | Description | Claims | Beneficiaries | Total Paid |
| 20610 |
|
861 |
734 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,018 |
859 |
$21K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
636 |
572 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
401 |
341 |
$11K |
| 29881 |
|
13 |
12 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41 |
34 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19 |
17 |
$1K |
| J3490 |
Unclassified drugs |
26 |
21 |
$4.33 |