| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,400 |
6,708 |
$504K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,906 |
1,771 |
$99K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
859 |
857 |
$83K |
| 99215 |
Prolong outpt/office vis |
495 |
454 |
$37K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
311 |
310 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
162 |
154 |
$11K |
| 99385 |
|
41 |
41 |
$4K |
| 93000 |
|
181 |
179 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
66 |
65 |
$1K |
| 90658 |
|
55 |
55 |
$522.34 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
17 |
17 |
$0.00 |