| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
7,897 |
2,403 |
$125K |
| 99223 |
Prolong inpt eval add15 m |
1,376 |
1,366 |
$46K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,743 |
1,027 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,244 |
3,154 |
$34K |
| 94060 |
|
452 |
445 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
368 |
366 |
$2K |
| 94729 |
|
390 |
383 |
$2K |
| 94726 |
|
392 |
384 |
$921.26 |
| 71046 |
Radiologic examination, chest; 2 views |
85 |
83 |
$184.35 |
| 36600 |
|
36 |
36 |
$85.46 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
42 |
42 |
$15.60 |
| 82803 |
|
24 |
24 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
24 |
24 |
$0.00 |