| Code | Description | Claims | Beneficiaries | Total Paid |
| 99442 |
|
5,162 |
3,195 |
$2K |
| 96160 |
|
274 |
121 |
$630.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
216 |
212 |
$328.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
517 |
384 |
$106.98 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,734 |
1,309 |
$40.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
36 |
31 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
33 |
33 |
$0.00 |
| 99173 |
|
61 |
35 |
$0.00 |
| 92551 |
|
76 |
48 |
$0.00 |