| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,625 |
1,462 |
$107K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
78 |
73 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
61 |
58 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
100 |
99 |
$5K |