| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
355 |
345 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,672 |
1,567 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
825 |
782 |
$779.99 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
460 |
416 |
$501.39 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
255 |
242 |
$153.03 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,849 |
484 |
$67.40 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
42 |
40 |
$61.79 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,573 |
1,305 |
$17.07 |
| 71045 |
Radiologic examination, chest; single view |
255 |
212 |
$7.52 |
| 99233 |
Prolong inpt eval add15 m |
1,312 |
432 |
$0.00 |
| 99223 |
Prolong inpt eval add15 m |
538 |
401 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
12 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
27 |
$0.00 |
| 70450 |
Computed tomography, head or brain; without contrast material |
13 |
13 |
$0.00 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
217 |
216 |
$0.00 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
372 |
344 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
88 |
86 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
206 |
178 |
$0.00 |
| 88342 |
|
14 |
14 |
$0.00 |