| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,357 |
3,932 |
$339K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,302 |
1,214 |
$145K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
315 |
315 |
$37K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
97 |
96 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
89 |
89 |
$10K |
| 81002 |
|
1,290 |
1,228 |
$3K |
| 36410 |
|
103 |
101 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 81025 |
|
446 |
440 |
$882.00 |