| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
733 |
713 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
242 |
236 |
$3K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
18 |
17 |
$2K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
14 |
14 |
$1K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12 |
12 |
$625.80 |
| 99443 |
|
12 |
12 |
$78.87 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
155 |
155 |
$75.23 |
| 99442 |
|
54 |
54 |
$17.98 |
| 99215 |
Prolong outpt/office vis |
43 |
43 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
51 |
51 |
$0.00 |