| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,534 |
2,637 |
$142K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,453 |
1,138 |
$59K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
266 |
246 |
$33K |
| 93000 |
|
71 |
65 |
$780.84 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
14 |
$33.08 |
| 1036F |
|
116 |
106 |
$0.00 |
| 3008F |
|
308 |
283 |
$0.00 |
| 1159F |
|
54 |
51 |
$0.00 |
| 1160F |
|
84 |
76 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
15 |
14 |
$0.00 |