| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,082 |
1,829 |
$133K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,548 |
1,435 |
$130K |
| 99442 |
|
322 |
290 |
$21K |
| 99215 |
Prolong outpt/office vis |
157 |
143 |
$18K |
| 99443 |
|
120 |
114 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
58 |
58 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
13 |
13 |
$589.80 |
| 93000 |
|
39 |
39 |
$511.10 |
| 99080 |
|
365 |
305 |
$0.00 |