| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,812 |
13,212 |
$720K |
| 99215 |
Prolong outpt/office vis |
10,401 |
9,394 |
$668K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,186 |
1,128 |
$41K |
| 99205 |
Prolong outpt/office vis |
361 |
340 |
$35K |
| 93922 |
|
118 |
109 |
$9K |
| 99457 |
|
689 |
576 |
$6K |
| 99454 |
|
684 |
576 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
86 |
44 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
17 |
16 |
$1K |
| 99453 |
|
329 |
232 |
$732.29 |
| 90756 |
|
23 |
22 |
$267.03 |