| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,198 |
4,974 |
$281K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,022 |
1,758 |
$135K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,149 |
977 |
$88K |
| 99199 |
Unlisted special service, procedure or report |
9,868 |
6,911 |
$52K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
253 |
235 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
623 |
545 |
$17K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
308 |
276 |
$5K |
| 81025 |
|
569 |
487 |
$4K |
| 99385 |
|
31 |
26 |
$3K |
| 81002 |
|
1,302 |
1,114 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
25 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 85018 |
|
61 |
55 |
$137.80 |
| 99072 |
|
53 |
52 |
$0.00 |