| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,290 |
1,259 |
$71K |
| 99205 |
Prolong outpt/office vis |
772 |
761 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,501 |
1,411 |
$49K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,450 |
1,420 |
$42K |
| 99215 |
Prolong outpt/office vis |
253 |
247 |
$13K |
| 99222 |
Initial hospital care, per day, moderate complexity |
216 |
209 |
$12K |
| 64642 |
|
223 |
217 |
$10K |
| 99233 |
Prolong inpt eval add15 m |
147 |
66 |
$7K |
| 95886 |
|
251 |
230 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
99 |
58 |
$4K |
| 64643 |
|
116 |
114 |
$4K |
| 64483 |
|
38 |
37 |
$3K |
| 76942 |
|
198 |
192 |
$3K |
| 95874 |
|
268 |
255 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
13 |
13 |
$1K |
| 62323 |
|
12 |
12 |
$669.03 |
| G0372 |
Physician service required to establish and document the need for a power mobility device |
64 |
63 |
$61.67 |