| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,158 |
4,409 |
$400K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,776 |
3,056 |
$238K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
670 |
631 |
$76K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
546 |
533 |
$62K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
441 |
411 |
$42K |
| 99215 |
Prolong outpt/office vis |
198 |
183 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
22 |
13 |
$2K |
| 93000 |
|
45 |
45 |
$137.76 |