| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,841 |
1,649 |
$67K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
167 |
142 |
$11K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
74 |
42 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
67 |
54 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48 |
43 |
$2K |
| 17250 |
|
84 |
51 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
60 |
44 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
35 |
32 |
$878.78 |
| 3074F |
|
87 |
73 |
$0.05 |
| 3079F |
|
18 |
15 |
$0.03 |
| 1159F |
|
471 |
329 |
$0.00 |
| 1160F |
|
17 |
16 |
$0.00 |
| 3008F |
|
466 |
318 |
$0.00 |
| 99024 |
|
143 |
92 |
$0.00 |