| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,987 |
3,895 |
$233K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,816 |
1,609 |
$78K |
| 99401 |
|
683 |
582 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
480 |
449 |
$13K |
| 99441 |
|
359 |
350 |
$6K |
| 93000 |
|
346 |
344 |
$4K |
| 99406 |
|
547 |
449 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$787.98 |
| 94010 |
|
27 |
27 |
$601.99 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$554.78 |
| 3074F |
|
276 |
216 |
$6.03 |
| 3078F |
|
197 |
152 |
$6.03 |
| 3079F |
|
56 |
48 |
$1.00 |
| 99457 |
|
12 |
12 |
$0.00 |