| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,068 |
3,712 |
$213K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,630 |
1,504 |
$63K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
419 |
404 |
$27K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
151 |
146 |
$9K |
| 93000 |
|
633 |
580 |
$7K |
| 80305 |
|
359 |
342 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
39 |
$4K |
| 99215 |
Prolong outpt/office vis |
43 |
43 |
$3K |
| 0011A |
|
169 |
90 |
$3K |
| 0012A |
|
119 |
84 |
$3K |
| 0013A |
|
56 |
54 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
117 |
97 |
$1K |
| 82962 |
|
758 |
660 |
$1K |
| 99385 |
|
18 |
16 |
$1K |
| 81002 |
|
665 |
597 |
$1K |
| 90756 |
|
25 |
21 |
$537.16 |
| 3080F |
|
789 |
722 |
$0.00 |
| 3074F |
|
1,097 |
1,015 |
$0.00 |
| 3079F |
|
568 |
529 |
$0.00 |
| 1125F |
|
645 |
616 |
$0.00 |
| 3075F |
|
198 |
187 |
$0.00 |
| 1126F |
|
3,383 |
3,118 |
$0.00 |
| 91301 |
|
268 |
244 |
$0.00 |
| 3078F |
|
669 |
627 |
$0.00 |
| 1159F |
|
4,406 |
4,028 |
$0.00 |
| 1160F |
|
4,246 |
3,887 |
$0.00 |
| 3077F |
|
639 |
569 |
$0.00 |
| 0521F |
|
628 |
605 |
$0.00 |
| 91300 |
|
16 |
15 |
$0.00 |