| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,665 |
4,566 |
$280K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,033 |
3,961 |
$166K |
| 99215 |
Prolong outpt/office vis |
238 |
237 |
$17K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$971.75 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$966.42 |
| 99442 |
|
54 |
54 |
$0.00 |
| 99443 |
|
46 |
45 |
$0.00 |