| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,180 |
5,528 |
$196K |
| 99215 |
Prolong outpt/office vis |
1,785 |
1,549 |
$75K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
525 |
440 |
$16K |
| 99205 |
Prolong outpt/office vis |
53 |
49 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
35 |
31 |
$1K |
| 82962 |
|
1,301 |
1,064 |
$972.00 |
| 99307 |
|
512 |
452 |
$516.43 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
194 |
164 |
$463.68 |
| 99443 |
|
18 |
16 |
$241.96 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
69 |
52 |
$0.00 |
| 99407 |
|
381 |
310 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
44 |
40 |
$0.00 |
| 99406 |
|
14 |
13 |
$0.00 |