| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,024 |
2,829 |
$296K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,598 |
2,255 |
$176K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
747 |
728 |
$96K |
| 93000 |
|
1,506 |
1,355 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
129 |
123 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
59 |
58 |
$8K |
| 99397 |
|
29 |
27 |
$868.55 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |