| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
3,794 |
3,207 |
$301K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
1,722 |
1,362 |
$275K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,693 |
2,180 |
$68K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,429 |
2,591 |
$42K |
| 00731 |
|
836 |
734 |
$25K |
| 00126 |
|
225 |
190 |
$9K |
| 00920 |
|
161 |
128 |
$8K |
| 00142 |
|
561 |
413 |
$7K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
128 |
110 |
$3K |
| 62323 |
|
42 |
40 |
$2K |
| 00140 |
|
24 |
24 |
$1K |
| 01922 |
|
21 |
14 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
25 |
$1K |
| 01961 |
|
12 |
12 |
$900.67 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
12 |
$628.88 |
| 64415 |
|
16 |
15 |
$496.34 |
| 00813 |
|
13 |
13 |
$488.06 |
| G9771 |
At least 1 body temperature measurement equal to or greater than 35.5 degrees celsius (or 95.9 degrees fahrenheit) achieved within the 30 minutes immediately before or 15 minutes immediately after anesthesia end time |
4,865 |
4,173 |
$0.00 |
| G9773 |
At least 1 body temperature measurement equal to or greater than 35.5 degrees celsius (or 95.9 degrees fahrenheit) not achieved within the 30 minutes immediately before or 15 minutes immediately after anesthesia end time, reason not given |
31 |
25 |
$0.00 |
| 4255F |
|
6,779 |
5,794 |
$0.00 |