| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
728 |
579 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
346 |
266 |
$36K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
90 |
88 |
$13K |
| 99233 |
Prolong inpt eval add15 m |
53 |
27 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
49 |
26 |
$3K |
| 99374 |
|
71 |
66 |
$729.58 |
| 99490 |
Ccm add 20min |
13 |
12 |
$441.62 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
91 |
12 |
$3.28 |