| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,591 |
1,259 |
$411K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
669 |
668 |
$169K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
328 |
301 |
$140K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
30 |
29 |
$7K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
12 |
12 |
$4K |
| 43235 |
|
12 |
12 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
17 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
26 |
26 |
$993.72 |
| G8907 |
Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility |
12 |
12 |
$0.00 |