| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,444 |
7,634 |
$1.29M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,784 |
1,781 |
$263K |
| 99442 |
|
502 |
437 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
346 |
278 |
$27K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
153 |
153 |
$15K |
| 99384 |
|
37 |
37 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
29 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$632.55 |
| 96160 |
|
869 |
868 |
$0.00 |