| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
732 |
586 |
$32K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
117 |
116 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
47 |
45 |
$3K |
| 99386 |
|
13 |
13 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41 |
35 |
$1K |
| 93000 |
|
106 |
103 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$914.64 |
| 99401 |
|
64 |
54 |
$823.06 |
| 99497 |
|
14 |
13 |
$226.15 |
| 96127 |
|
39 |
35 |
$0.00 |