| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,059 |
2,475 |
$137K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
134 |
101 |
$10K |
| 96160 |
|
253 |
209 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
41 |
36 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
30 |
25 |
$2K |
| 99497 |
|
53 |
46 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58 |
45 |
$2K |
| 99173 |
|
311 |
252 |
$1K |
| 93000 |
|
112 |
99 |
$1K |
| 92551 |
|
305 |
253 |
$1K |
| 96127 |
|
166 |
141 |
$920.30 |
| 81003 |
|
625 |
523 |
$803.07 |
| 3008F |
|
547 |
480 |
$712.50 |
| 3074F |
|
217 |
195 |
$260.00 |
| 1170F |
|
89 |
79 |
$230.00 |
| 1125F |
|
89 |
78 |
$200.00 |
| 3078F |
|
95 |
86 |
$140.00 |
| 99406 |
|
12 |
12 |
$79.07 |
| 3079F |
|
67 |
58 |
$60.00 |
| 1126F |
|
28 |
27 |
$40.00 |
| 3080F |
|
13 |
12 |
$32.49 |
| 3050F |
|
16 |
14 |
$0.00 |