| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 54150 |
|
625 |
568 |
$83K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
785 |
705 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
193 |
177 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
56 |
52 |
$4K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
24 |
18 |
$791.75 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$304.90 |
| 0500F |
|
124 |
113 |
$10.00 |
| 0503F |
|
319 |
311 |
$0.00 |
| 0501F |
|
307 |
287 |
$0.00 |
| 0502F |
|
2,126 |
1,907 |
$0.00 |