| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
924 |
610 |
$49K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
778 |
483 |
$28K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
127 |
117 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
130 |
89 |
$7K |
| 99205 |
Prolong outpt/office vis |
49 |
48 |
$6K |
| 99215 |
Prolong outpt/office vis |
44 |
25 |
$4K |
| 99385 |
|
28 |
13 |
$1K |
| 76801 |
|
13 |
12 |
$937.24 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$771.02 |