| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,033 |
834 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
119 |
105 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
34 |
24 |
$3K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
169 |
144 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$256.50 |
| 99173 |
|
16 |
15 |
$119.20 |
| 96127 |
|
76 |
71 |
$15.09 |