| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
113 |
113 |
$5K |
| 0011A |
|
102 |
102 |
$4K |
| 92567 |
|
305 |
299 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
203 |
196 |
$3K |
| 0031A |
|
56 |
55 |
$2K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
40 |
12 |
$2K |
| 0004A |
|
32 |
32 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
145 |
144 |
$1K |
| 92552 |
|
90 |
88 |
$698.00 |
| 93971 |
|
18 |
15 |
$209.40 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
44 |
27 |
$15.70 |