| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,011 |
1,832 |
$102K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
985 |
930 |
$88K |
| 99385 |
|
177 |
169 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
173 |
159 |
$13K |
| 58558 |
|
28 |
25 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
57 |
57 |
$6K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| 99386 |
|
12 |
12 |
$1K |