| Code | Description | Claims | Beneficiaries | Total Paid |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,203 |
1,144 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,377 |
7,278 |
$2K |
| 99441 |
|
6,692 |
4,682 |
$1K |
| 96160 |
|
25 |
25 |
$660.00 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
33 |
32 |
$464.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
935 |
601 |
$351.20 |
| 99221 |
|
25 |
24 |
$147.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
305 |
185 |
$23.69 |
| 99442 |
|
42 |
37 |
$20.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
191 |
129 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
110 |
61 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
156 |
137 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$0.00 |