| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,211 |
5,761 |
$309K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,063 |
3,487 |
$251K |
| 81002 |
|
4,924 |
3,661 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
49 |
42 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
41 |
41 |
$3K |
| 81025 |
|
342 |
318 |
$2K |
| H1000 |
Prenatal care, at-risk assessment |
19 |
19 |
$2K |
| 99459 |
|
97 |
96 |
$1K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 59430 |
|
12 |
12 |
$878.35 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
35 |
32 |
$802.49 |
| 0502F |
|
1,340 |
903 |
$0.00 |