| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
597 |
390 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
275 |
140 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
97 |
54 |
$214.37 |
| 3008F |
|
175 |
111 |
$163.93 |
| 3075F |
|
427 |
275 |
$75.66 |
| 3074F |
|
573 |
336 |
$75.66 |
| 82950 |
|
25 |
25 |
$0.00 |
| 3079F |
|
552 |
354 |
$0.00 |
| 3078F |
|
409 |
256 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
12 |
$0.00 |