| Code | Description | Claims | Beneficiaries | Total Paid |
| 3074F |
|
184 |
170 |
$20.00 |
| 3078F |
|
191 |
177 |
$20.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
187 |
150 |
$0.00 |
| 3008F |
|
100 |
98 |
$0.00 |
| 3044F |
|
16 |
15 |
$0.00 |
| 3048F |
|
23 |
22 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
169 |
107 |
$0.00 |
| 3077F |
|
13 |
13 |
$0.00 |
| 1159F |
|
26 |
25 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
65 |
53 |
$0.00 |
| 1160F |
|
26 |
25 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
110 |
88 |
$0.00 |