| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,426 |
2,039 |
$87K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
942 |
828 |
$24K |
| 81025 |
|
2,588 |
2,250 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
153 |
141 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
222 |
198 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
171 |
159 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
46 |
40 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
29 |
$2K |
| 99385 |
|
16 |
12 |
$1K |
| 99201 |
|
40 |
34 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
48 |
37 |
$699.11 |
| 87210 |
|
13 |
12 |
$44.39 |
| 0501F |
|
14 |
12 |
$0.00 |