| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,343 |
6,402 |
$24K |
| 90686 |
|
470 |
468 |
$8K |
| 90688 |
|
441 |
440 |
$8K |
| 90660 |
|
22 |
22 |
$912.24 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$663.70 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38 |
38 |
$337.50 |
| 90672 |
|
15 |
15 |
$233.04 |
| 90658 |
|
31 |
31 |
$158.90 |
| 92551 |
|
12 |
12 |
$157.92 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
391 |
389 |
$125.00 |