| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,507 |
5,579 |
$328K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,661 |
2,475 |
$165K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
211 |
209 |
$19K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
28 |
28 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
13 |
$939.40 |
| 3079F |
|
1,078 |
921 |
$352.16 |
| 3074F |
|
1,229 |
966 |
$88.92 |
| 3078F |
|
572 |
477 |
$20.64 |
| 3075F |
|
379 |
330 |
$0.00 |
| 1036F |
|
463 |
391 |
$0.00 |
| 4010F |
|
48 |
43 |
$0.00 |
| 4004F |
|
158 |
131 |
$0.00 |
| 99442 |
|
62 |
39 |
$0.00 |