| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,437 |
6,186 |
$321K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,293 |
2,244 |
$172K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
883 |
879 |
$50K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,077 |
1,013 |
$42K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
896 |
841 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
171 |
170 |
$10K |
| 99215 |
Prolong outpt/office vis |
78 |
76 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
39 |
$3K |
| 99442 |
|
93 |
83 |
$3K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
12 |
12 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
13 |
13 |
$1K |
| 99381 |
|
44 |
42 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
87 |
85 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$962.88 |
| 99441 |
|
17 |
14 |
$243.93 |
| 0521F |
|
137 |
132 |
$0.08 |
| 1170F |
|
56 |
56 |
$0.02 |
| 1159F |
|
278 |
259 |
$0.00 |
| 1160F |
|
186 |
173 |
$0.00 |
| 1125F |
|
12 |
12 |
$0.00 |