| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,143 |
926 |
$82K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
536 |
516 |
$56K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
1,174 |
908 |
$52K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
40 |
40 |
$3K |
| 99386 |
|
13 |
13 |
$764.90 |
| 99401 |
|
20 |
20 |
$28.86 |
| 1000F |
|
13 |
13 |
$0.00 |