| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,492 |
15,258 |
$537K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,540 |
2,471 |
$158K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
520 |
504 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
598 |
546 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
244 |
232 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
199 |
192 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
78 |
74 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
65 |
60 |
$2K |
| 81000 |
|
432 |
414 |
$2K |
| 99401 |
|
49 |
48 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
80 |
77 |
$1K |
| 82962 |
|
150 |
143 |
$665.86 |
| 93000 |
|
19 |
19 |
$366.10 |
| 81025 |
|
126 |
120 |
$356.54 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
15 |
$16.60 |
| 85018 |
|
15 |
15 |
$0.00 |
| 1170F |
|
13 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
12 |
$0.00 |
| 90782 |
|
506 |
488 |
$0.00 |
| 87210 |
|
12 |
12 |
$0.00 |
| 3725F |
|
13 |
12 |
$0.00 |