| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,452 |
6,325 |
$564.01 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,392 |
1,390 |
$68.90 |
| 99497 |
|
247 |
244 |
$60.39 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
215 |
215 |
$57.20 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,061 |
1,032 |
$24.00 |
| 3078F |
|
984 |
975 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
16 |
$0.00 |
| 3044F |
|
429 |
419 |
$0.00 |
| 3074F |
|
969 |
960 |
$0.00 |
| 4010F |
|
13 |
13 |
$0.00 |
| 99441 |
|
29 |
27 |
$0.00 |
| 3072F |
|
14 |
14 |
$0.00 |