| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,360 |
4,793 |
$141K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
808 |
742 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,945 |
1,668 |
$49K |
| 99205 |
Prolong outpt/office vis |
379 |
328 |
$34K |
| 99215 |
Prolong outpt/office vis |
405 |
376 |
$31K |
| 93922 |
|
1,427 |
1,207 |
$23K |
| 43235 |
|
138 |
105 |
$14K |
| 43775 |
|
17 |
15 |
$13K |
| 93925 |
|
288 |
255 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
740 |
673 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
179 |
158 |
$8K |
| 47562 |
|
14 |
12 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
55 |
51 |
$2K |
| 46930 |
|
17 |
14 |
$2K |
| 97803 |
|
78 |
59 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
35 |
34 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
53 |
53 |
$897.97 |
| 99223 |
Prolong inpt eval add15 m |
14 |
13 |
$783.96 |
| 97802 |
|
28 |
25 |
$774.64 |
| 93970 |
|
15 |
12 |
$236.11 |
| 76937 |
|
25 |
15 |
$171.66 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
13 |
12 |
$5.40 |