| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
639 |
164 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,380 |
980 |
$8K |
| 99223 |
Prolong inpt eval add15 m |
100 |
64 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
219 |
41 |
$4K |
| 99310 |
Prolong nursin fac eval 15m |
102 |
56 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
78 |
41 |
$335.66 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
102 |
80 |
$307.94 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
49 |
44 |
$231.82 |
| 96139 |
|
15 |
13 |
$13.32 |
| 36415 |
Collection of venous blood by venipuncture |
40 |
32 |
$6.71 |
| 95816 |
|
28 |
26 |
$0.00 |