| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,213 |
16,664 |
$510K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,373 |
6,922 |
$346K |
| 99223 |
Prolong inpt eval add15 m |
844 |
799 |
$45K |
| 80305 |
|
1,508 |
1,409 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
65 |
62 |
$4K |
| 27096 |
|
54 |
51 |
$4K |
| 64493 |
|
54 |
49 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
117 |
79 |
$2K |
| 64494 |
|
54 |
49 |
$1K |
| 64495 |
|
41 |
37 |
$981.05 |
| 77002 |
|
27 |
27 |
$793.32 |
| 99152 |
|
26 |
24 |
$692.08 |
| A4930 |
Gloves, sterile, per pair |
1,452 |
1,302 |
$591.83 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$406.71 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,719 |
1,562 |
$285.76 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
31 |
27 |
$230.97 |
| 99153 |
Mod sedat endo service >5yrs |
26 |
24 |
$230.50 |
| 20552 |
|
13 |
12 |
$112.48 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
13 |
12 |
$58.21 |
| A4550 |
Surgical trays |
1,174 |
1,042 |
$0.00 |
| A4215 |
Needle, sterile, any size, each |
1,202 |
1,059 |
$0.00 |