| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,199 |
1,916 |
$114K |
| 99385 |
|
650 |
602 |
$69K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
159 |
139 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
123 |
105 |
$10K |
| 99222 |
Initial hospital care, per day, moderate complexity |
58 |
54 |
$6K |
| 81003 |
|
5,089 |
3,437 |
$6K |
| 81025 |
|
878 |
761 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
21 |
18 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$2K |
| 99386 |
|
12 |
12 |
$2K |
| 76801 |
|
15 |
13 |
$1K |
| 99459 |
|
38 |
30 |
$314.32 |
| 81000 |
|
79 |
56 |
$129.63 |
| 0500F |
|
13 |
12 |
$0.00 |
| 0502F |
|
205 |
147 |
$0.00 |