| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,647 |
2,391 |
$8K |
| 90686 |
|
173 |
173 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
447 |
432 |
$2K |
| 90656 |
|
140 |
139 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
941 |
896 |
$2K |
| 85018 |
|
712 |
704 |
$1K |
| 81002 |
|
515 |
515 |
$981.89 |
| 90688 |
|
57 |
57 |
$930.80 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
55 |
55 |
$20.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
38 |
$0.00 |