| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,274 |
6,016 |
$278K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,779 |
1,683 |
$54K |
| 99499 |
|
724 |
683 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 90682 |
|
14 |
14 |
$694.64 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
25 |
$634.40 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
29 |
29 |
$610.70 |
| 90686 |
|
63 |
63 |
$554.45 |
| 90715 |
|
15 |
15 |
$499.58 |
| 99385 |
|
13 |
13 |
$282.70 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$276.00 |
| 3725F |
|
300 |
300 |
$0.00 |
| 1036F |
|
324 |
322 |
$0.00 |
| 3008F |
|
445 |
442 |
$0.00 |