| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,771 |
1,547 |
$203K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
25 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
14 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
12 |
$1K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
17 |
12 |
$252.70 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12 |
12 |
$176.44 |