| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,806 |
1,584 |
$372K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
108 |
107 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
136 |
125 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
41 |
$8K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
52 |
42 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$4K |
| 99307 |
|
27 |
25 |
$2K |
| 99336 |
|
26 |
24 |
$228.96 |