| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,530 |
1,481 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
888 |
556 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
377 |
167 |
$9K |
| 99205 |
Prolong outpt/office vis |
41 |
19 |
$2K |
| 93000 |
|
178 |
92 |
$654.39 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
23 |
12 |
$336.29 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
12 |
$285.02 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
134 |
52 |
$115.34 |
| 96127 |
|
105 |
17 |
$5.00 |
| 3074F |
|
28 |
20 |
$0.00 |
| 3079F |
|
22 |
19 |
$0.00 |