| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,745 |
7,250 |
$454K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,056 |
5,098 |
$221K |
| 99215 |
Prolong outpt/office vis |
125 |
119 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
53 |
53 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
20 |
13 |
$949.39 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
12 |
$822.82 |
| 0064A |
|
26 |
26 |
$383.72 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$253.26 |
| 96160 |
|
56 |
48 |
$2.76 |
| 3008F |
|
85 |
79 |
$0.00 |
| 3074F |
|
14 |
13 |
$0.00 |
| 3511F |
|
121 |
107 |
$0.00 |