| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,041 |
19,898 |
$1.50M |
| 52281 |
|
3,756 |
3,747 |
$549K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,819 |
5,816 |
$541K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
20,739 |
4,062 |
$502K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,122 |
20,574 |
$493K |
| 99223 |
Prolong inpt eval add15 m |
3,573 |
3,433 |
$333K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,824 |
4,818 |
$265K |
| 51798 |
|
9,090 |
8,968 |
$81K |
| 81002 |
|
9,693 |
9,421 |
$15K |
| 52356 |
|
52 |
49 |
$14K |
| 52310 |
|
65 |
65 |
$13K |
| 74420 |
|
561 |
525 |
$5K |
| 54161 |
|
26 |
26 |
$3K |
| 52000 |
|
195 |
195 |
$3K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
26 |
25 |
$3K |
| 52332 |
|
12 |
12 |
$2K |
| 96402 |
|
215 |
215 |
$2K |
| J9217 |
Leuprolide acetate (for depot suspension), 7.5 mg |
15 |
15 |
$2K |
| 51610 |
|
100 |
92 |
$2K |
| 51702 |
|
77 |
73 |
$1K |
| 81000 |
|
255 |
255 |
$414.06 |
| 52005 |
|
15 |
14 |
$227.85 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
28 |
16 |
$162.25 |
| 76872 |
|
13 |
13 |
$67.65 |
| 99024 |
|
41 |
37 |
$0.00 |