| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
856 |
855 |
$42K |
| 11721 |
|
1,823 |
1,819 |
$41K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
226 |
226 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
458 |
449 |
$12K |
| 20550 |
|
173 |
164 |
$6K |
| 11750 |
|
39 |
37 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
40 |
$1K |
| 11730 |
|
55 |
54 |
$1K |
| 11765 |
|
17 |
13 |
$700.89 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38 |
38 |
$655.26 |
| 99243 |
|
13 |
13 |
$556.55 |