| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,602 |
1,576 |
$104K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,373 |
2,191 |
$102K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
391 |
391 |
$23K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
289 |
289 |
$12K |
| 99385 |
|
111 |
111 |
$894.33 |
| 96127 |
|
105 |
105 |
$282.68 |
| 99386 |
|
53 |
53 |
$117.10 |
| 93000 |
|
12 |
12 |
$109.92 |
| 3078F |
|
401 |
395 |
$0.00 |
| 3077F |
|
54 |
51 |
$0.00 |
| 3074F |
|
148 |
144 |
$0.00 |
| 3044F |
|
75 |
75 |
$0.00 |
| 1036F |
|
300 |
286 |
$0.00 |
| 3075F |
|
29 |
29 |
$0.00 |
| 3079F |
|
25 |
25 |
$0.00 |