| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99443 |
|
1,302 |
1,125 |
$84K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,745 |
3,402 |
$66K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,713 |
2,473 |
$59K |
| 97803 |
|
2,056 |
1,797 |
$22K |
| D0120 |
Periodic oral evaluation - established patient |
563 |
511 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
353 |
320 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
116 |
115 |
$10.68 |