| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
23,999 |
15,631 |
$2.35M |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,301 |
958 |
$169K |
| A0425 |
Ground mileage, per statute mile |
623 |
538 |
$29K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
71 |
65 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
503 |
477 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$624.80 |
| 71046 |
Radiologic examination, chest; 2 views |
39 |
39 |
$330.14 |
| 73630 |
|
13 |
12 |
$84.32 |