| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,656 |
4,912 |
$180K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,434 |
2,867 |
$141K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,516 |
1,423 |
$102K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
376 |
336 |
$38K |
| 99243 |
|
376 |
372 |
$31K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
424 |
183 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
457 |
358 |
$8K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
77 |
39 |
$7K |
| 20610 |
|
251 |
176 |
$5K |
| 92567 |
|
183 |
179 |
$2K |
| 92579 |
|
76 |
68 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,512 |
1,082 |
$936.40 |
| 90750 |
|
19 |
13 |
$917.05 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
140 |
138 |
$718.10 |
| 73560 |
|
68 |
52 |
$644.00 |
| 81025 |
|
194 |
189 |
$531.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
36 |
31 |
$417.95 |
| 92587 |
|
12 |
12 |
$348.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
595 |
493 |
$292.43 |
| 73565 |
|
30 |
24 |
$276.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
36 |
29 |
$258.70 |
| 90686 |
|
19 |
13 |
$192.60 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
320 |
300 |
$165.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
68 |
40 |
$125.00 |
| 82962 |
|
66 |
25 |
$3.00 |
| 3078F |
|
30 |
12 |
$0.00 |
| 99024 |
|
714 |
527 |
$0.00 |
| 2000F |
|
26 |
24 |
$0.00 |