| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,073 |
7,365 |
$188K |
| 76872 |
|
985 |
979 |
$41K |
| 99215 |
Prolong outpt/office vis |
235 |
233 |
$18K |
| 52000 |
|
157 |
156 |
$18K |
| 52281 |
|
87 |
87 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
344 |
344 |
$13K |
| 99222 |
Initial hospital care, per day, moderate complexity |
147 |
145 |
$12K |
| 51702 |
|
483 |
441 |
$12K |
| 51728 |
|
70 |
69 |
$11K |
| 51798 |
|
3,281 |
3,078 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
255 |
242 |
$7K |
| 51725 |
|
66 |
65 |
$6K |
| 51784 |
|
116 |
111 |
$3K |
| 81002 |
|
1,183 |
1,098 |
$766.23 |
| 51741 |
|
106 |
101 |
$681.75 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
51 |
47 |
$628.84 |
| A5112 |
Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each |
12 |
12 |
$415.13 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
32 |
27 |
$184.30 |