| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,166 |
5,634 |
$42K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
483 |
310 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,207 |
1,409 |
$9K |
| 82570 |
|
14,308 |
8,833 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
129 |
98 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
47 |
41 |
$2K |
| 84153 |
|
1,682 |
1,080 |
$2K |
| 81003 |
|
14,026 |
8,592 |
$2K |
| 99490 |
Ccm add 20min |
592 |
379 |
$887.04 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
83 |
46 |
$850.70 |
| 84403 |
|
409 |
284 |
$670.23 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
18 |
12 |
$636.75 |
| 87481 |
|
527 |
398 |
$478.13 |
| 51798 |
|
169 |
121 |
$468.26 |
| 36415 |
Collection of venous blood by venipuncture |
2,857 |
1,760 |
$433.29 |
| 88112 |
|
50 |
41 |
$388.71 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
505 |
385 |
$249.09 |
| 99233 |
Prolong inpt eval add15 m |
18 |
12 |
$248.22 |
| 99439 |
|
95 |
69 |
$207.84 |
| 87640 |
|
523 |
398 |
$83.12 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
136 |
68 |
$72.11 |
| 81001 |
|
241 |
171 |
$29.25 |
| 87653 |
|
523 |
398 |
$27.30 |
| 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) |
22 |
15 |
$17.63 |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
19 |
14 |
$1.19 |
| 84311 |
|
172 |
118 |
$0.00 |
| 83069 |
|
172 |
118 |
$0.00 |
| 83986 |
|
172 |
118 |
$0.00 |
| 82043 |
|
172 |
118 |
$0.00 |
| 82945 |
|
172 |
118 |
$0.00 |
| 82247 |
|
172 |
118 |
$0.00 |
| 82010 |
|
172 |
118 |
$0.00 |
| 81007 |
|
342 |
118 |
$0.00 |
| 84156 |
|
172 |
118 |
$0.00 |