| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,918 |
2,556 |
$182K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,066 |
888 |
$85K |
| 93000 |
|
2,874 |
2,411 |
$66K |
| 93308 |
|
505 |
418 |
$31K |
| 93224 |
|
255 |
229 |
$30K |
| 99222 |
Initial hospital care, per day, moderate complexity |
26 |
24 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
60 |
52 |
$2K |
| 93320 |
|
41 |
39 |
$2K |
| 93325 |
|
41 |
39 |
$1K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
14 |
14 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
34 |
34 |
$811.66 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
38 |
34 |
$777.83 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
25 |
$332.90 |