| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99205 |
Prolong outpt/office vis |
486 |
468 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
765 |
636 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
458 |
364 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
374 |
321 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
239 |
190 |
$8K |
| 99215 |
Prolong outpt/office vis |
169 |
149 |
$7K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
76 |
29 |
$7K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
79 |
28 |
$4K |
| 91040 |
|
27 |
26 |
$4K |
| 96127 |
|
392 |
341 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
127 |
96 |
$985.20 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
23 |
17 |
$438.76 |
| 98960 |
|
96 |
81 |
$262.67 |
| 99401 |
|
606 |
509 |
$166.53 |
| 97803 |
|
41 |
34 |
$0.00 |