| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,554 |
1,002 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
410 |
279 |
$11K |
| 93923 |
|
66 |
52 |
$6K |
| 88738 |
|
2,303 |
955 |
$5K |
| 95923 |
|
64 |
50 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
58 |
41 |
$2K |
| 95943 |
|
41 |
33 |
$1K |
| 20610 |
|
57 |
12 |
$1K |
| 77002 |
|
57 |
12 |
$717.32 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
61 |
13 |
$158.95 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
66 |
13 |
$4.58 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
48 |
12 |
$2.79 |