| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,939 |
19,264 |
$1.14M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,047 |
9,117 |
$273K |
| 99215 |
Prolong outpt/office vis |
2,023 |
1,789 |
$138K |
| 99407 |
|
9,763 |
8,095 |
$137K |
| 93224 |
|
1,382 |
1,225 |
$126K |
| 93000 |
|
6,059 |
4,815 |
$94K |
| 94060 |
|
2,553 |
2,294 |
$83K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
553 |
508 |
$52K |
| 99205 |
Prolong outpt/office vis |
315 |
290 |
$34K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
70 |
70 |
$6K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
60 |
47 |
$202.88 |
| 99406 |
|
15 |
15 |
$105.93 |