| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99253 |
|
1,412 |
1,395 |
$97K |
| 99221 |
|
837 |
827 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
973 |
952 |
$29K |
| 95816 |
|
556 |
523 |
$22K |
| 99222 |
Initial hospital care, per day, moderate complexity |
205 |
203 |
$12K |
| 99254 |
|
58 |
57 |
$5K |
| 99441 |
|
122 |
119 |
$4K |
| 99255 |
|
29 |
29 |
$3K |
| 95819 |
|
75 |
67 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
20 |
20 |
$1K |
| 95822 |
|
33 |
29 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$678.50 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
14 |
12 |
$253.16 |
| 1159F |
|
29 |
27 |
$0.00 |
| 1160F |
|
29 |
27 |
$0.00 |