| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
658 |
623 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
160 |
160 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
218 |
218 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
41 |
39 |
$72.42 |
| 76937 |
|
27 |
25 |
$40.60 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
14 |
12 |
$0.00 |