| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,650 |
2,436 |
$159K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,211 |
1,128 |
$119K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
255 |
255 |
$33K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
73 |
70 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |