| Code | Description | Claims | Beneficiaries | Total Paid |
| 99349 |
|
2,841 |
2,497 |
$119K |
| 99348 |
|
1,854 |
1,623 |
$55K |
| 99334 |
|
397 |
285 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
181 |
156 |
$16K |
| 99335 |
|
166 |
140 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
171 |
160 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
54 |
54 |
$8K |
| 99347 |
|
370 |
322 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
324 |
217 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
97 |
83 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 99341 |
|
31 |
31 |
$674.60 |
| 99343 |
|
12 |
12 |
$568.53 |
| 99497 |
|
15 |
15 |
$92.15 |
| 96160 |
|
87 |
86 |
$11.50 |