| Code | Description | Claims | Beneficiaries | Total Paid |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
997 |
997 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
56 |
56 |
$0.00 |
| 59425 |
|
406 |
276 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
252 |
244 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
196 |
185 |
$0.00 |
| 99386 |
|
174 |
173 |
$0.00 |