| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,993 |
3,434 |
$106K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,302 |
3,064 |
$88K |
| 99423 |
|
849 |
238 |
$49K |
| 99490 |
Ccm add 20min |
1,370 |
1,348 |
$5K |
| 99491 |
Ccm add 20min |
1,797 |
1,791 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
64 |
58 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
26 |
$995.95 |
| 99439 |
|
455 |
454 |
$885.24 |
| 0013A |
|
33 |
33 |
$200.00 |
| 0064A |
|
50 |
49 |
$200.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
86 |
83 |
$182.62 |
| 99457 |
|
344 |
344 |
$18.97 |
| T1015 |
Clinic visit/encounter, all-inclusive |
14 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
45 |
44 |
$0.00 |
| 0012A |
|
18 |
18 |
$0.00 |
| 99458 |
|
344 |
344 |
$0.00 |
| 0011A |
|
17 |
17 |
$0.00 |
| 0031A |
|
69 |
68 |
$0.00 |