| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,411 |
3,338 |
$126K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,067 |
1,056 |
$35K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
403 |
401 |
$28K |
| 94060 |
|
2,670 |
2,297 |
$24K |
| 94727 |
|
2,440 |
2,082 |
$18K |
| 94729 |
|
2,602 |
2,229 |
$18K |
| 99222 |
Initial hospital care, per day, moderate complexity |
328 |
309 |
$13K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
508 |
209 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 94664 |
|
146 |
143 |
$848.75 |
| 99442 |
|
195 |
193 |
$135.95 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
26 |
13 |
$98.58 |
| A4617 |
Mouth piece |
16 |
15 |
$14.60 |
| 99443 |
|
19 |
19 |
$0.00 |