| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,717 |
6,158 |
$735K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,138 |
2,658 |
$224K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
570 |
555 |
$56K |
| 99402 |
|
1,229 |
1,125 |
$38K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
334 |
326 |
$30K |
| 99215 |
Prolong outpt/office vis |
172 |
163 |
$20K |
| 99407 |
|
858 |
754 |
$17K |
| 99354 |
|
429 |
365 |
$15K |
| 90658 |
|
230 |
229 |
$4K |
| 93000 |
|
234 |
233 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
269 |
267 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$2K |
| 99417 |
Prolong home eval add 15m |
14 |
14 |
$327.13 |
| 80305 |
|
30 |
25 |
$115.00 |