| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,826 |
1,799 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
581 |
580 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
252 |
223 |
$2K |
| 51700 |
|
95 |
68 |
$491.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$400.80 |
| 51798 |
|
172 |
171 |
$361.23 |
| 74018 |
|
42 |
41 |
$123.00 |
| 84153 |
|
166 |
166 |
$99.77 |
| 81003 |
|
1,060 |
884 |
$77.18 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$58.10 |
| 84403 |
|
26 |
26 |
$22.80 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
189 |
147 |
$22.00 |
| 84270 |
|
26 |
26 |
$18.72 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
56 |
56 |
$16.35 |
| J1071 |
Injection, testosterone cypionate, 1 mg |
238 |
186 |
$13.46 |
| 36415 |
Collection of venous blood by venipuncture |
211 |
210 |
$8.65 |