| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,218 |
1,677 |
$152K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
159 |
82 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
102 |
70 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
46 |
46 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
86 |
54 |
$3K |
| 81002 |
|
122 |
48 |
$552.02 |
| 3074F |
|
10,354 |
2,723 |
$13.19 |
| 3078F |
|
8,366 |
2,231 |
$0.00 |
| 4004F |
|
712 |
203 |
$0.00 |
| 1036F |
|
2,819 |
835 |
$0.00 |
| 3079F |
|
723 |
204 |
$0.00 |