| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,603 |
4,149 |
$564K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
426 |
398 |
$39K |
| 99173 |
|
88 |
88 |
$6K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
67 |
59 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
62 |
62 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
17 |
$3K |
| 96160 |
|
37 |
37 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
14 |
14 |
$680.65 |
| 92551 |
|
28 |
28 |
$0.00 |
| 96127 |
|
14 |
14 |
$0.00 |