| Code | Description | Claims | Beneficiaries | Total Paid |
| 0502F |
|
2,896 |
2,080 |
$145K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
566 |
345 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
134 |
105 |
$11K |
| 0500F |
|
23 |
12 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
15 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
40 |
38 |
$400.34 |
| 99459 |
|
28 |
27 |
$380.12 |
| 81025 |
|
41 |
39 |
$206.80 |