| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,927 |
2,855 |
$269K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
616 |
595 |
$61K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
784 |
753 |
$18K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
180 |
178 |
$5K |
| 99386 |
|
187 |
178 |
$4K |
| 95251 |
|
114 |
114 |
$3K |
| 95250 |
|
20 |
20 |
$2K |
| 99385 |
|
58 |
58 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
16 |
$855.84 |