| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,278 |
1,099 |
$98K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
927 |
699 |
$41K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
65 |
55 |
$6K |
| 96127 |
|
305 |
187 |
$4K |
| 99401 |
|
134 |
76 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
84 |
62 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
24 |
$2K |
| 90686 |
|
41 |
32 |
$746.88 |
| 1036F |
|
219 |
195 |
$0.00 |
| 3074F |
|
289 |
256 |
$0.00 |
| 3008F |
|
402 |
354 |
$0.00 |
| 3078F |
|
289 |
255 |
$0.00 |
| 3725F |
|
232 |
199 |
$0.00 |
| 1159F |
|
192 |
171 |
$0.00 |
| 1160F |
|
378 |
332 |
$0.00 |