| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,195 |
1,948 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,211 |
1,074 |
$17K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
76 |
67 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
119 |
109 |
$6K |
| 99205 |
Prolong outpt/office vis |
86 |
82 |
$5K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
39 |
38 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
96 |
94 |
$3K |
| 99243 |
|
30 |
29 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
113 |
65 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
13 |
12 |
$786.14 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
12 |
$258.25 |
| 76604 |
|
13 |
12 |
$252.12 |
| 93308 |
|
13 |
12 |
$224.41 |
| 99233 |
Prolong inpt eval add15 m |
29 |
12 |
$0.00 |