| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,676 |
2,249 |
$46K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
492 |
455 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
502 |
421 |
$14K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,321 |
2,180 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
332 |
309 |
$2K |
| 20610 |
|
687 |
481 |
$2K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
13 |
13 |
$2K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
383 |
334 |
$952.82 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
44 |
44 |
$672.02 |
| 97803 |
|
62 |
60 |
$529.71 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
32 |
25 |
$327.06 |
| 99215 |
Prolong outpt/office vis |
83 |
82 |
$320.26 |
| 97802 |
|
17 |
17 |
$168.75 |
| 99386 |
|
16 |
16 |
$112.22 |
| 96127 |
|
82 |
71 |
$12.85 |