| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,376 |
8,869 |
$766K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
196 |
191 |
$11K |
| 99215 |
Prolong outpt/office vis |
49 |
47 |
$6K |
| 82947 |
|
1,517 |
1,455 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$2K |
| 99497 |
|
43 |
43 |
$287.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
13 |
$120.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
44 |
42 |
$0.00 |
| 3008F |
|
137 |
128 |
$0.00 |