| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,892 |
1,811 |
$73K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
110 |
110 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
52 |
52 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
40 |
36 |
$1K |
| 87660 |
|
28 |
28 |
$252.43 |
| 87110 |
|
29 |
29 |
$152.57 |
| 81025 |
|
30 |
30 |
$138.03 |
| 87075 |
|
31 |
31 |
$129.92 |
| 88150 |
|
13 |
13 |
$75.66 |