| Code | Description | Claims | Bene. Records | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,025 |
1,863 |
$110K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,444 |
2,245 |
$99K |
| 90686 |
|
193 |
139 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16 |
14 |
$973.28 |
| 99336 |
|
13 |
13 |
$691.66 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
13 |
$377.75 |
| 99348 |
|
15 |
15 |
$277.59 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
29 |
25 |
$276.42 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
28 |
27 |
$232.61 |
| 99349 |
|
13 |
13 |
$117.30 |
| 99307 |
|
39 |
39 |
$74.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
29 |
27 |
$60.18 |