| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30,666 |
21,805 |
$2.35M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,906 |
1,721 |
$147K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,529 |
1,428 |
$130K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,047 |
981 |
$89K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
127 |
115 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
121 |
114 |
$9K |
| 90734 |
|
15 |
12 |
$250.65 |
| 3075F |
|
145 |
91 |
$0.00 |
| 3074F |
|
806 |
514 |
$0.00 |
| 3044F |
|
542 |
330 |
$0.00 |
| 3079F |
|
442 |
272 |
$0.00 |
| 3078F |
|
612 |
399 |
$0.00 |