| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
144 |
131 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,963 |
1,512 |
$0.00 |
| 90688 |
|
14 |
14 |
$0.00 |
| 92551 |
|
148 |
148 |
$0.00 |
| 85018 |
|
122 |
122 |
$0.00 |
| 81003 |
|
14 |
14 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
686 |
548 |
$0.00 |
| 81025 |
|
43 |
41 |
$0.00 |
| 99173 |
|
150 |
150 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
45 |
45 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$0.00 |