| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,907 |
1,815 |
$1K |
| 93990 |
|
558 |
555 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
277 |
275 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
315 |
296 |
$935.58 |
| 36465 |
|
73 |
64 |
$572.74 |
| 93970 |
|
275 |
275 |
$526.40 |
| 93925 |
|
180 |
180 |
$96.87 |
| 99153 |
Mod sedat endo service >5yrs |
12 |
12 |
$57.40 |
| 99152 |
|
12 |
12 |
$53.12 |
| 76937 |
|
12 |
12 |
$25.34 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$0.00 |
| 93971 |
|
151 |
136 |
$0.00 |