| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,550 |
1,497 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,974 |
1,885 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
148 |
148 |
$9K |
| 99254 |
|
51 |
50 |
$5K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
38 |
36 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
102 |
102 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
90 |
57 |
$2K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
39 |
39 |
$1K |
| 99457 |
|
70 |
68 |
$978.18 |
| 99243 |
|
12 |
12 |
$944.31 |
| 99439 |
|
401 |
376 |
$513.23 |
| 99490 |
Ccm add 20min |
496 |
470 |
$361.91 |
| 99454 |
|
44 |
43 |
$300.00 |
| G2064 |
Comprehensive care management services for a single high-risk disease, e.g., principal care management, at least 30 minutes of physician or other qualified health care professional time per calendar month with the following elements: one complex chronic condition lasting at least 3 months, which is the focus of the care plan, the condition is of sufficient severity to place patient at risk of hospitalization or have been the cause of a recent hospitalization, the condition requires development or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen, and/or the management of the condition is unusually complex due to comorbidities |
43 |
43 |
$265.00 |
| 99453 |
|
30 |
29 |
$207.51 |
| CP003 |
|
12 |
12 |
$117.60 |
| 99221 |
|
79 |
78 |
$58.72 |