| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,729 |
2,692 |
$83K |
| 99223 |
Prolong inpt eval add15 m |
1,690 |
1,624 |
$81K |
| 99233 |
Prolong inpt eval add15 m |
644 |
591 |
$20K |
| 59514 |
|
114 |
114 |
$17K |
| 99222 |
Initial hospital care, per day, moderate complexity |
184 |
177 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
171 |
159 |
$3K |
| 99255 |
|
42 |
40 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
387 |
385 |
$349.92 |
| 81000 |
|
1,311 |
872 |
$229.14 |
| 59025 |
Fetal non-stress test |
12 |
12 |
$82.09 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$0.00 |
| 99072 |
|
182 |
138 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
120 |
119 |
$0.00 |
| 81025 |
|
117 |
114 |
$0.00 |
| 88164 |
|
101 |
100 |
$0.00 |
| 99459 |
|
247 |
242 |
$0.00 |