| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,108 |
7,784 |
$229K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
532 |
353 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
829 |
621 |
$15K |
| 51798 |
|
3,045 |
2,029 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
195 |
151 |
$9K |
| 81002 |
|
5,422 |
4,157 |
$8K |
| 52000 |
|
86 |
66 |
$6K |
| 81003 |
|
3,728 |
2,841 |
$5K |
| 74018 |
|
319 |
239 |
$4K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
427 |
303 |
$3K |
| 84153 |
|
176 |
123 |
$3K |
| 87186 |
|
132 |
86 |
$1K |
| 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) |
792 |
614 |
$1K |
| 87088 |
|
147 |
81 |
$1K |
| 81001 |
|
14 |
12 |
$44.98 |
| A4550 |
Surgical trays |
32 |
29 |
$20.06 |
| 99000 |
|
13 |
12 |
$0.00 |