| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
647 |
589 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
741 |
676 |
$29K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
210 |
192 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
282 |
250 |
$15K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
256 |
105 |
$6K |
| 20610 |
|
82 |
64 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
29 |
28 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
182 |
117 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
16 |
16 |
$2K |
| 99221 |
|
26 |
25 |
$496.18 |
| 90686 |
|
30 |
29 |
$432.02 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
68 |
60 |
$332.01 |
| 36415 |
Collection of venous blood by venipuncture |
149 |
145 |
$10.04 |
| 1111F |
|
37 |
32 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
31 |
$0.00 |