| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,484 |
2,167 |
$341K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,564 |
1,328 |
$110K |
| 19303 |
|
68 |
38 |
$90K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
690 |
617 |
$48K |
| 15003 |
|
28 |
15 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
204 |
169 |
$20K |
| 19350 |
|
38 |
14 |
$20K |
| 15004 |
|
98 |
54 |
$19K |
| 15002 |
|
66 |
39 |
$15K |
| 97597 |
|
268 |
169 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
158 |
136 |
$7K |
| 64721 |
|
16 |
15 |
$6K |
| 99205 |
Prolong outpt/office vis |
32 |
28 |
$6K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
169 |
61 |
$5K |
| 15005 |
|
22 |
12 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
12 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
20 |
12 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
28 |
24 |
$911.37 |
| 99221 |
|
12 |
12 |
$647.22 |
| G0296 |
Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) |
50 |
50 |
$298.32 |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$0.00 |