| Code | Description | Claims | Beneficiaries | Total Paid |
| 1126F |
|
38 |
32 |
$0.00 |
| 2010F |
|
40 |
35 |
$0.00 |
| 3074F |
|
22 |
18 |
$0.00 |
| 3008F |
|
41 |
35 |
$0.00 |
| 2001F |
|
43 |
35 |
$0.00 |
| 2000F |
|
40 |
35 |
$0.00 |
| 99441 |
|
14 |
13 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
100 |
85 |
$0.00 |
| 1159F |
|
43 |
36 |
$0.00 |
| 1158F |
|
18 |
16 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
50 |
46 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |
| 1160F |
|
43 |
36 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
17 |
$0.00 |
| 3078F |
|
48 |
42 |
$0.00 |