| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,419 |
5,187 |
$286K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,028 |
1,898 |
$75K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
559 |
546 |
$37K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
129 |
126 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
39 |
$4K |
| 3078F |
|
2,387 |
2,221 |
$1K |
| 3074F |
|
2,383 |
2,210 |
$1K |
| 3051F |
|
403 |
381 |
$1K |
| 3044F |
|
480 |
455 |
$770.19 |
| 99223 |
Prolong inpt eval add15 m |
20 |
12 |
$753.24 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
15 |
14 |
$417.78 |
| 3072F |
|
850 |
784 |
$330.17 |
| 3077F |
|
364 |
320 |
$180.00 |
| 3046F |
|
27 |
26 |
$110.00 |
| 3052F |
|
20 |
13 |
$70.00 |
| 3080F |
|
144 |
134 |
$70.00 |
| 0513F |
|
57 |
51 |
$50.00 |
| 2022F |
|
30 |
28 |
$30.00 |
| 3075F |
|
13 |
13 |
$5.00 |
| 3045F |
|
13 |
13 |
$0.02 |
| 3050F |
|
403 |
385 |
$0.00 |
| 3015F |
|
1,384 |
1,264 |
$0.00 |
| 3095F |
|
442 |
426 |
$0.00 |
| 4145F |
|
218 |
187 |
$0.00 |
| 4013F |
|
2,491 |
2,272 |
$0.00 |
| 86696 |
|
51 |
36 |
$0.00 |
| 4040F |
|
527 |
487 |
$0.00 |
| 1159F |
|
435 |
392 |
$0.00 |
| 86703 |
|
83 |
58 |
$0.00 |
| 1160F |
|
443 |
394 |
$0.00 |
| 1158F |
|
430 |
387 |
$0.00 |
| 3061F |
|
1,464 |
1,364 |
$0.00 |
| 4010F |
|
1,319 |
1,186 |
$0.00 |
| 3048F |
|
1,101 |
1,004 |
$0.00 |
| 1101F |
|
470 |
451 |
$0.00 |
| 3017F |
|
1,609 |
1,512 |
$0.00 |
| 3014F |
|
2,329 |
2,135 |
$0.00 |
| 1125F |
|
103 |
101 |
$0.00 |
| 1170F |
|
455 |
436 |
$0.00 |
| 3011F |
|
148 |
134 |
$0.00 |
| 3049F |
|
817 |
763 |
$0.00 |
| 4037F |
|
1,017 |
913 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
117 |
108 |
$0.00 |
| 1126F |
|
342 |
326 |
$0.00 |
| 3060F |
|
46 |
39 |
$0.00 |
| 86592 |
|
196 |
124 |
$0.00 |