| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,240 |
2,117 |
$183K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,124 |
2,870 |
$156K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,001 |
2,685 |
$90K |
| 51798 |
|
2,574 |
2,189 |
$17K |
| 52000 |
|
101 |
96 |
$16K |
| 99223 |
Prolong inpt eval add15 m |
145 |
125 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
576 |
400 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
57 |
55 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
110 |
47 |
$4K |
| 81002 |
|
1,590 |
1,439 |
$3K |
| 76872 |
|
12 |
12 |
$2K |
| 99254 |
|
12 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
209 |
204 |
$821.00 |
| 51741 |
|
114 |
95 |
$785.68 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$772.48 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
48 |
47 |
$546.32 |
| 81000 |
|
110 |
76 |
$101.27 |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
26 |
24 |
$20.59 |
| A4550 |
Surgical trays |
174 |
137 |
$0.00 |