| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,469 |
4,391 |
$256K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,417 |
2,409 |
$207K |
| 76770 |
|
3,088 |
3,080 |
$173K |
| 52000 |
|
1,047 |
1,041 |
$110K |
| 50590 |
|
369 |
309 |
$105K |
| 52310 |
|
612 |
603 |
$93K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,366 |
1,290 |
$86K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,630 |
1,598 |
$67K |
| 99221 |
|
1,073 |
1,043 |
$54K |
| 52356 |
|
240 |
234 |
$52K |
| 99222 |
Initial hospital care, per day, moderate complexity |
526 |
517 |
$38K |
| 99215 |
Prolong outpt/office vis |
549 |
540 |
$38K |
| 52281 |
|
250 |
246 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
511 |
510 |
$30K |
| 52332 |
|
524 |
493 |
$28K |
| 51798 |
|
4,106 |
3,990 |
$23K |
| 81000 |
|
6,459 |
6,121 |
$18K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
716 |
279 |
$15K |
| J9217 |
Leuprolide acetate (for depot suspension), 7.5 mg |
51 |
51 |
$9K |
| 52330 |
|
68 |
63 |
$9K |
| 74420 |
|
323 |
309 |
$4K |
| 81002 |
|
1,629 |
1,559 |
$4K |
| 51741 |
|
612 |
605 |
$3K |
| 51729 |
|
15 |
15 |
$3K |
| 99205 |
Prolong outpt/office vis |
14 |
13 |
$1K |
| 93976 |
|
12 |
12 |
$941.00 |
| 51784 |
|
53 |
52 |
$844.76 |
| 76775 |
|
31 |
31 |
$828.78 |
| 96402 |
|
50 |
50 |
$752.37 |
| 51797 |
|
15 |
15 |
$738.07 |
| 99218 |
|
14 |
14 |
$728.78 |
| 76870 |
|
12 |
12 |
$654.85 |
| 76857 |
|
14 |
14 |
$347.88 |