| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,102 |
3,497 |
$145K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,068 |
1,763 |
$50K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
138 |
127 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
195 |
140 |
$6K |
| 90686 |
|
182 |
158 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
164 |
158 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
48 |
44 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
95 |
69 |
$1K |
| 82962 |
|
134 |
124 |
$252.72 |
| 90658 |
|
19 |
19 |
$234.96 |
| 82947 |
|
80 |
51 |
$113.57 |
| 0513F |
|
108 |
98 |
$20.00 |
| 99000 |
|
19 |
17 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
124 |
82 |
$0.00 |
| G9899 |
Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed |
42 |
27 |
$0.00 |