| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,379 |
2,092 |
$112K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
521 |
448 |
$14K |
| 99215 |
Prolong outpt/office vis |
28 |
25 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
26 |
$1K |
| 99310 |
Prolong nursin fac eval 15m |
28 |
22 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
32 |
27 |
$507.28 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
62 |
26 |
$428.69 |
| 99401 |
|
15 |
15 |
$301.41 |