| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
452 |
433 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
38 |
33 |
$2K |
| 99441 |
|
406 |
381 |
$319.06 |
| 99223 |
Prolong inpt eval add15 m |
13 |
13 |
$288.96 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,253 |
1,190 |
$0.00 |
| 99384 |
|
12 |
12 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
754 |
748 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,097 |
2,824 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
135 |
135 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
120 |
120 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$0.00 |