| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,195 |
3,677 |
$78K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,127 |
1,018 |
$32K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
124 |
94 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
16 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$786.17 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
43 |
29 |
$488.25 |
| 1220F |
|
1,047 |
707 |
$65.18 |
| 3008F |
|
12,672 |
6,870 |
$0.00 |
| 4010F |
|
199 |
149 |
$0.00 |
| 1125F |
|
991 |
396 |
$0.00 |
| 1126F |
|
3,424 |
1,675 |
$0.00 |
| 1034F |
|
281 |
156 |
$0.00 |
| 0513F |
|
792 |
246 |
$0.00 |
| 3074F |
|
223 |
182 |
$0.00 |
| 96127 |
|
121 |
99 |
$0.00 |
| 3079F |
|
263 |
206 |
$0.00 |
| 1170F |
|
588 |
477 |
$0.00 |
| 4000F |
|
27 |
24 |
$0.00 |
| 3049F |
|
15 |
12 |
$0.00 |
| 1160F |
|
11,175 |
5,311 |
$0.00 |
| 3016F |
|
8,122 |
3,627 |
$0.00 |
| 1158F |
|
1,384 |
1,035 |
$0.00 |
| 1159F |
|
13,304 |
6,391 |
$0.00 |
| 99499 |
|
703 |
511 |
$0.00 |
| 3288F |
|
435 |
324 |
$0.00 |
| 99442 |
|
25 |
12 |
$0.00 |
| 3078F |
|
89 |
70 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
30 |
23 |
$0.00 |
| 3725F |
|
49 |
35 |
$0.00 |