| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99205 |
Prolong outpt/office vis |
1,477 |
1,467 |
$206K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,760 |
1,705 |
$75K |
| 99223 |
Prolong inpt eval add15 m |
329 |
323 |
$32K |
| 93990 |
|
86 |
80 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
49 |
12 |
$3K |
| 93925 |
|
25 |
25 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
44 |
13 |
$118.60 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
27 |
26 |
$0.00 |