| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99454 |
|
622 |
622 |
$4K |
| 99457 |
|
609 |
609 |
$2K |
| 99441 |
|
239 |
116 |
$2K |
| 99348 |
|
90 |
84 |
$1K |
| 99335 |
|
127 |
125 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
185 |
183 |
$1K |
| 99325 |
|
68 |
68 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
322 |
240 |
$980.23 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39 |
39 |
$543.39 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
82 |
82 |
$399.06 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$374.91 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
123 |
90 |
$239.45 |
| 99336 |
|
29 |
29 |
$208.10 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$187.56 |
| 99453 |
|
219 |
216 |
$168.81 |
| 3074F |
|
12 |
12 |
$0.00 |
| 99458 |
|
14 |
14 |
$0.00 |
| 99326 |
|
12 |
12 |
$0.00 |