| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,163 |
1,121 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
576 |
553 |
$4K |
| 99443 |
|
284 |
271 |
$3K |
| 99442 |
|
99 |
97 |
$378.00 |
| 99386 |
|
43 |
43 |
$103.81 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
44 |
43 |
$35.00 |
| 90662 |
|
12 |
12 |
$9.00 |
| 3078F |
|
552 |
550 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
105 |
98 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
69 |
69 |
$0.00 |
| 3074F |
|
508 |
506 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 99385 |
|
13 |
13 |
$0.00 |