| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Z1034 |
|
598 |
388 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,834 |
1,709 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,034 |
972 |
$9K |
| Z1032 |
|
13 |
13 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
624 |
589 |
$864.28 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$537.31 |
| 99215 |
Prolong outpt/office vis |
27 |
27 |
$412.34 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$308.70 |
| 3074F |
|
782 |
710 |
$265.96 |
| 3077F |
|
233 |
211 |
$255.23 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
28 |
$206.70 |
| 3079F |
|
558 |
507 |
$92.90 |
| 99000 |
|
26 |
26 |
$86.43 |
| 3075F |
|
130 |
123 |
$37.50 |
| 3080F |
|
215 |
193 |
$37.50 |
| 11600 |
|
33 |
29 |
$0.00 |
| 1125F |
|
20 |
17 |
$0.00 |
| 3078F |
|
348 |
317 |
$0.00 |
| 1159F |
|
466 |
409 |
$0.00 |
| 1160F |
|
416 |
367 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$0.00 |