| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 36475 |
|
1,707 |
1,699 |
$3.40M |
| 36465 |
|
970 |
964 |
$1.58M |
| 93970 |
|
2,415 |
2,410 |
$393K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,235 |
6,077 |
$309K |
| 93971 |
|
3,226 |
3,181 |
$281K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,899 |
1,886 |
$159K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,890 |
4,784 |
$155K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,532 |
1,530 |
$99K |
| 36478 |
|
15 |
15 |
$34K |
| 93925 |
|
352 |
352 |
$31K |
| 99223 |
Prolong inpt eval add15 m |
397 |
390 |
$24K |
| 36466 |
|
13 |
13 |
$19K |
| 99233 |
Prolong inpt eval add15 m |
410 |
141 |
$18K |
| 99152 |
|
292 |
281 |
$6K |
| 93922 |
|
146 |
145 |
$6K |
| 93985 |
|
15 |
15 |
$5K |
| 99153 |
Mod sedat endo service >5yrs |
231 |
221 |
$5K |
| 36247 |
|
54 |
51 |
$3K |
| 75716 |
|
26 |
25 |
$1K |
| 75625 |
|
14 |
13 |
$706.32 |
| 75630 |
|
12 |
12 |
$632.62 |
| 76937 |
|
59 |
58 |
$391.34 |