| Code | Description | Claims | Beneficiaries | Total Paid |
| 36465 |
|
423 |
383 |
$550K |
| 36475 |
|
287 |
272 |
$407K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,789 |
2,783 |
$246K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,663 |
2,488 |
$184K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,072 |
1,071 |
$119K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,362 |
2,295 |
$117K |
| 99215 |
Prolong outpt/office vis |
1,134 |
1,118 |
$98K |
| 99205 |
Prolong outpt/office vis |
529 |
528 |
$73K |
| 93970 |
|
572 |
545 |
$72K |
| 93971 |
|
791 |
650 |
$65K |
| 93925 |
|
271 |
262 |
$19K |
| 99222 |
Initial hospital care, per day, moderate complexity |
121 |
116 |
$9K |
| 99223 |
Prolong inpt eval add15 m |
111 |
109 |
$9K |
| 47562 |
|
12 |
12 |
$7K |
| 99233 |
Prolong inpt eval add15 m |
53 |
25 |
$4K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
16 |
16 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
79 |
79 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
39 |
37 |
$1K |
| 46600 |
|
12 |
12 |
$973.36 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$782.56 |
| 75625 |
|
12 |
12 |
$746.31 |