| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,534 |
2,376 |
$160K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,053 |
1,042 |
$119K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,118 |
396 |
$113K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,310 |
1,165 |
$96K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,527 |
1,410 |
$69K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
467 |
457 |
$54K |
| 92201 |
|
2,474 |
1,451 |
$46K |
| 95720 |
|
387 |
212 |
$45K |
| 99215 |
Prolong outpt/office vis |
425 |
418 |
$42K |
| 95714 |
|
113 |
54 |
$24K |
| 92060 |
|
292 |
284 |
$18K |
| 92015 |
Determination of refractive state |
1,074 |
1,029 |
$15K |
| 95700 |
|
69 |
68 |
$14K |
| 99233 |
Prolong inpt eval add15 m |
377 |
189 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
126 |
117 |
$10K |
| 99222 |
Initial hospital care, per day, moderate complexity |
71 |
69 |
$8K |
| 95816 |
|
135 |
123 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
38 |
38 |
$5K |
| 99255 |
|
33 |
18 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
41 |
40 |
$4K |
| 99205 |
Prolong outpt/office vis |
26 |
26 |
$3K |
| 99254 |
|
13 |
12 |
$2K |
| 99443 |
|
39 |
38 |
$2K |
| 92083 |
|
13 |
13 |
$500.99 |
| 92133 |
|
14 |
12 |
$326.65 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
14 |
14 |
$0.00 |