| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,909 |
1,891 |
$121K |
| 93040 |
|
948 |
943 |
$17K |
| 94761 |
|
1,075 |
1,067 |
$10K |
| 99223 |
Prolong inpt eval add15 m |
84 |
83 |
$7K |
| 94760 |
|
364 |
362 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
24 |
$3K |
| 99255 |
|
14 |
14 |
$2K |
| 93290 |
|
29 |
29 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$886.71 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$876.63 |
| 93289 |
|
25 |
24 |
$802.70 |
| 99152 |
|
14 |
14 |
$166.79 |
| 99153 |
Mod sedat endo service >5yrs |
13 |
13 |
$100.94 |