| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,453 |
1,132 |
$108K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,678 |
1,230 |
$79K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
94 |
89 |
$14K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
124 |
108 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
105 |
85 |
$9K |
| 99401 |
|
263 |
204 |
$7K |
| 93000 |
|
116 |
101 |
$1K |
| 36416 |
|
331 |
287 |
$870.97 |
| 92553 |
|
26 |
25 |
$365.40 |
| 96127 |
|
25 |
23 |
$343.94 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
205 |
161 |
$144.89 |
| 99173 |
|
24 |
22 |
$144.40 |
| 2010F |
|
78 |
64 |
$0.00 |
| 3008F |
|
30 |
18 |
$0.00 |
| 3074F |
|
14 |
14 |
$0.00 |