| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,994 |
6,049 |
$288K |
| 99215 |
Prolong outpt/office vis |
2,508 |
2,043 |
$121K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
989 |
898 |
$33K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
206 |
194 |
$13K |
| 99205 |
Prolong outpt/office vis |
54 |
48 |
$5K |
| 82962 |
|
1,430 |
1,220 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
103 |
85 |
$368.38 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
86 |
67 |
$312.00 |
| 80305 |
|
14 |
14 |
$33.66 |