| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,842 |
3,755 |
$26K |
| 99347 |
|
791 |
790 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
96 |
96 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
886 |
831 |
$2K |
| 99000 |
|
2,503 |
2,406 |
$917.24 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
26 |
26 |
$744.66 |
| 99348 |
|
24 |
24 |
$733.17 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
119 |
118 |
$377.50 |
| 3008F |
|
1,278 |
1,262 |
$261.09 |
| 86580 |
|
27 |
27 |
$203.75 |
| 3078F |
|
53 |
53 |
$0.00 |
| 3077F |
|
54 |
53 |
$0.00 |
| 1159F |
|
26 |
25 |
$0.00 |
| 3074F |
|
57 |
57 |
$0.00 |
| 3079F |
|
15 |
15 |
$0.00 |