| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
737 |
595 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
889 |
703 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
156 |
142 |
$12K |
| 99222 |
Initial hospital care, per day, moderate complexity |
15 |
12 |
$447.01 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
13 |
$403.56 |
| 81002 |
|
558 |
421 |
$92.30 |
| 81001 |
|
146 |
134 |
$71.23 |
| 1036F |
|
52 |
41 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
68 |
38 |
$0.00 |