| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,192 |
1,061 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
760 |
702 |
$66K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
214 |
202 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
266 |
259 |
$23K |
| 71046 |
Radiologic examination, chest; 2 views |
239 |
217 |
$6K |
| 93000 |
|
205 |
188 |
$3K |
| 96103 |
|
93 |
87 |
$829.23 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$782.28 |
| 71045 |
Radiologic examination, chest; single view |
32 |
22 |
$403.29 |
| 81002 |
|
13 |
12 |
$33.11 |
| 82962 |
|
15 |
12 |
$19.26 |
| 3080F |
|
35 |
32 |
$0.00 |
| 3079F |
|
61 |
57 |
$0.00 |
| 3075F |
|
48 |
45 |
$0.00 |
| 3077F |
|
38 |
35 |
$0.00 |