| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
3,259 |
1,827 |
$175K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
926 |
482 |
$92K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
112 |
103 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
54 |
54 |
$5K |
| 0503F |
|
70 |
61 |
$4K |
| 81002 |
|
608 |
328 |
$1K |
| 81025 |
|
271 |
229 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
15 |
$1K |
| 54150 |
|
12 |
12 |
$930.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$709.67 |