| Code | Description | Claims | Beneficiaries | Total Paid |
| 93227 |
|
76 |
52 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,060 |
4,103 |
$90.29 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,829 |
3,244 |
$74.26 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
40 |
39 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
125 |
81 |
$0.00 |