| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
632 |
567 |
$28K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
262 |
255 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
57 |
55 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
28 |
28 |
$2K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
46 |
45 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18 |
16 |
$1K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
25 |
25 |
$639.75 |