| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,143 |
6,661 |
$572K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,841 |
4,420 |
$331K |
| 95816 |
|
802 |
791 |
$279K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,051 |
916 |
$136K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,654 |
152 |
$135K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,246 |
804 |
$128K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
654 |
248 |
$125K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,217 |
190 |
$120K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
155 |
155 |
$53K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
683 |
570 |
$44K |
| 99233 |
Prolong inpt eval add15 m |
360 |
189 |
$40K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
219 |
219 |
$30K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
208 |
208 |
$29K |
| 93320 |
|
648 |
248 |
$29K |
| 99243 |
|
1,029 |
494 |
$25K |
| 95117 |
|
2,178 |
1,474 |
$22K |
| 92015 |
Determination of refractive state |
7,157 |
808 |
$15K |
| 93325 |
|
707 |
291 |
$15K |
| 93000 |
|
934 |
450 |
$13K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
79 |
77 |
$11K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
42 |
24 |
$8K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
124 |
124 |
$7K |
| 99307 |
|
100 |
95 |
$4K |
| 95720 |
|
19 |
15 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
18 |
17 |
$4K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
30 |
28 |
$4K |
| 94010 |
|
45 |
43 |
$971.27 |
| 92567 |
|
39 |
39 |
$648.70 |
| 92060 |
|
5,740 |
481 |
$565.21 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$142.26 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
377 |
374 |
$0.00 |