| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
528 |
528 |
$52K |
| 99222 |
Initial hospital care, per day, moderate complexity |
201 |
201 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
567 |
557 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
173 |
172 |
$14K |
| 99223 |
Prolong inpt eval add15 m |
158 |
158 |
$13K |
| 73110 |
|
307 |
275 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
112 |
112 |
$4K |
| 97750 |
|
43 |
43 |
$758.40 |
| 73560 |
|
41 |
41 |
$532.34 |
| 73610 |
|
14 |
12 |
$351.96 |
| 73130 |
|
15 |
14 |
$277.26 |