| Code | Description | Claims | Beneficiaries | Total Paid |
| 17110 |
|
2,151 |
1,768 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,184 |
3,980 |
$15K |
| 17111 |
|
263 |
247 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,449 |
1,449 |
$11K |
| 11102 |
|
327 |
312 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
273 |
266 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
102 |
97 |
$0.00 |
| 17000 |
|
14 |
14 |
$0.00 |
| 11200 |
|
18 |
15 |
$0.00 |
| 17003 |
|
13 |
13 |
$0.00 |