| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,829 |
4,560 |
$430K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,092 |
2,995 |
$321K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
338 |
337 |
$48K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
405 |
399 |
$45K |
| 99383 |
|
109 |
108 |
$14K |
| 99384 |
|
53 |
53 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
45 |
45 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
26 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
61 |
60 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
117 |
115 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| 86580 |
|
184 |
182 |
$2K |
| 99490 |
Ccm add 20min |
140 |
140 |
$44.66 |
| 99406 |
|
12 |
12 |
$0.00 |