| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,327 |
4,449 |
$629K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,116 |
983 |
$157K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
351 |
240 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
110 |
102 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
53 |
53 |
$9K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
271 |
195 |
$9K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
54 |
40 |
$2K |
| 99307 |
|
40 |
32 |
$919.18 |
| 90686 |
|
18 |
13 |
$99.00 |
| 3078F |
|
19 |
17 |
$0.00 |
| 3074F |
|
31 |
27 |
$0.00 |