| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,266 |
1,239 |
$48K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
232 |
224 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
69 |
69 |
$5K |
| 99442 |
|
35 |
33 |
$2K |
| 99441 |
|
31 |
30 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
88 |
75 |
$1K |
| 96127 |
|
77 |
77 |
$366.52 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$249.59 |
| 3074F |
|
1,618 |
1,592 |
$25.00 |
| 3077F |
|
39 |
39 |
$0.00 |
| 3078F |
|
904 |
893 |
$0.00 |
| 1159F |
|
51 |
51 |
$0.00 |
| 3079F |
|
761 |
750 |
$0.00 |
| 3008F |
|
1,307 |
1,281 |
$0.00 |
| 1111F |
|
375 |
367 |
$0.00 |
| 3075F |
|
124 |
123 |
$0.00 |
| 3080F |
|
14 |
13 |
$0.00 |