| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,351 |
2,269 |
$25K |
| 99215 |
Prolong outpt/office vis |
619 |
547 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
688 |
659 |
$13K |
| Z0100 |
|
13 |
13 |
$4K |
| Z0104 |
|
15 |
15 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
185 |
178 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
42 |
42 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
48 |
48 |
$855.24 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
14 |
14 |
$624.86 |
| 99199 |
Unlisted special service, procedure or report |
15 |
12 |
$0.00 |