| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,565 |
802 |
$88K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
174 |
112 |
$14K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
1,372 |
672 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
120 |
63 |
$7K |
| 81002 |
|
1,261 |
609 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
15 |
$2K |
| 82270 |
|
18 |
17 |
$45.24 |