| Code | Description | Claims | Beneficiaries | Total Paid |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
171 |
166 |
$13K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
121 |
119 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
247 |
241 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
106 |
102 |
$4K |
| 99385 |
|
13 |
13 |
$1K |
| 81025 |
|
13 |
12 |
$67.86 |
| 99000 |
|
400 |
381 |
$0.00 |