| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,411 |
2,145 |
$79K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
797 |
756 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
535 |
500 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
76 |
74 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
343 |
293 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
28 |
$1K |
| 92552 |
|
62 |
59 |
$330.40 |
| 3077F |
|
115 |
104 |
$330.00 |
| 99173 |
|
61 |
58 |
$220.80 |
| 3078F |
|
39 |
37 |
$150.00 |
| 4010F |
|
14 |
13 |
$40.00 |
| 3079F |
|
13 |
12 |
$40.00 |
| 3074F |
|
14 |
13 |
$40.00 |
| 3080F |
|
13 |
12 |
$30.00 |
| 90619 |
|
91 |
68 |
$0.00 |
| 3008F |
|
15 |
15 |
$0.00 |