| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,442 |
9,994 |
$575K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,338 |
1,308 |
$97K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
788 |
784 |
$64K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
695 |
694 |
$62K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
361 |
357 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
67 |
67 |
$7K |
| 94060 |
|
203 |
203 |
$6K |
| 99215 |
Prolong outpt/office vis |
54 |
54 |
$5K |
| 99406 |
|
620 |
615 |
$4K |
| 96160 |
|
494 |
490 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
40 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
67 |
66 |
$607.23 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
72 |
68 |
$590.01 |
| 81002 |
|
24 |
24 |
$62.59 |
| 3008F |
|
1,465 |
1,458 |
$0.11 |
| 97802 |
|
12 |
12 |
$0.02 |
| 99401 |
|
57 |
57 |
$0.00 |
| 3075F |
|
16 |
16 |
$0.00 |
| 3079F |
|
15 |
15 |
$0.00 |