| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,702 |
6,294 |
$412K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,996 |
1,921 |
$122K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,181 |
953 |
$94K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
882 |
798 |
$27K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
369 |
352 |
$23K |
| 99385 |
|
73 |
71 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
232 |
197 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| 57454 |
|
17 |
15 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
18 |
17 |
$730.20 |
| 54150 |
|
13 |
13 |
$499.36 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
50 |
50 |
$404.62 |
| 81025 |
|
65 |
62 |
$233.59 |
| A4927 |
Gloves, non-sterile, per 100 |
86 |
74 |
$135.00 |
| 0502F |
|
3,211 |
2,032 |
$0.00 |
| 3015F |
|
59 |
59 |
$0.00 |
| 0503F |
|
66 |
62 |
$0.00 |
| 0500F |
|
14 |
14 |
$0.00 |