| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
610 |
540 |
$49K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
390 |
339 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
12 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
12 |
$1K |
| 96127 |
|
55 |
47 |
$978.66 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$830.04 |
| 3074F |
|
232 |
179 |
$0.00 |
| 3008F |
|
260 |
201 |
$0.00 |
| 3078F |
|
220 |
169 |
$0.00 |