| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,158 |
11,484 |
$455K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,109 |
8,501 |
$194K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,753 |
1,579 |
$126K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,348 |
2,191 |
$120K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,083 |
1,042 |
$59K |
| 99385 |
|
671 |
609 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
320 |
295 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
354 |
297 |
$15K |
| 99386 |
|
189 |
175 |
$13K |
| 59430 |
|
272 |
255 |
$2K |
| 59025 |
Fetal non-stress test |
49 |
43 |
$447.99 |
| 81025 |
|
15 |
15 |
$90.16 |