| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,822 |
5,540 |
$272K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
295 |
293 |
$26K |
| 99499 |
|
1,011 |
946 |
$13K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
473 |
467 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
105 |
103 |
$2K |
| 3074F |
|
182 |
178 |
$2K |
| 3078F |
|
163 |
158 |
$2K |
| 3079F |
|
152 |
151 |
$2K |
| 99050 |
|
12 |
12 |
$1K |
| 3077F |
|
108 |
106 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
50 |
46 |
$967.20 |
| 99386 |
|
25 |
25 |
$500.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
14 |
$490.00 |
| 3075F |
|
39 |
39 |
$390.00 |
| 99385 |
|
12 |
12 |
$240.00 |
| 3080F |
|
18 |
18 |
$180.00 |
| 3046F |
|
16 |
16 |
$160.00 |
| 3044F |
|
12 |
12 |
$120.00 |