| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,585 |
1,576 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
147 |
146 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,354 |
2,328 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
118 |
118 |
$151.90 |
| 96150 |
|
192 |
191 |
$130.10 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
90 |
90 |
$15.00 |
| 3351F |
|
174 |
173 |
$4.50 |
| 99443 |
|
99 |
99 |
$0.00 |
| 3074F |
|
167 |
166 |
$0.00 |
| G9012 |
Other specified case management service not elsewhere classified |
75 |
75 |
$0.00 |
| 96127 |
|
163 |
163 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| 99442 |
|
108 |
108 |
$0.00 |
| 3078F |
|
166 |
165 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
35 |
35 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
14 |
14 |
$0.00 |