| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,797 |
9,004 |
$727K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,425 |
6,708 |
$378K |
| 99255 |
|
1,848 |
1,722 |
$157K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
896 |
837 |
$75K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
199 |
183 |
$17K |
| 99254 |
|
185 |
179 |
$12K |
| 99233 |
Prolong inpt eval add15 m |
286 |
138 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
55 |
42 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
88 |
84 |
$3K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
33 |
30 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
147 |
71 |
$3K |
| 93000 |
|
91 |
81 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$1K |
| 99401 |
|
37 |
34 |
$960.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$479.05 |
| 1159F |
|
495 |
414 |
$0.59 |
| 1160F |
|
496 |
417 |
$0.59 |
| 3008F |
|
104 |
98 |
$0.00 |
| 1125F |
|
40 |
38 |
$0.00 |
| 3079F |
|
14 |
14 |
$0.00 |
| 3725F |
|
124 |
107 |
$0.00 |
| 3077F |
|
29 |
26 |
$0.00 |