| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,162 |
701 |
$112K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
818 |
488 |
$55K |
| 99199 |
Unlisted special service, procedure or report |
4,108 |
2,349 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
100 |
50 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
86 |
34 |
$4K |
| 96127 |
|
700 |
432 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
39 |
29 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
264 |
176 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
20 |
13 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
13 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22 |
12 |
$1K |
| 96161 |
|
23 |
13 |
$70.17 |
| 99173 |
|
214 |
144 |
$58.61 |
| 99000 |
|
37 |
20 |
$0.00 |