| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,779 |
4,061 |
$68K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,605 |
1,180 |
$63K |
| 99223 |
Prolong inpt eval add15 m |
327 |
302 |
$17K |
| 99233 |
Prolong inpt eval add15 m |
807 |
182 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
157 |
138 |
$8K |
| 94729 |
|
717 |
670 |
$7K |
| 94727 |
|
777 |
722 |
$6K |
| 94375 |
|
673 |
636 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
78 |
77 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
141 |
127 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
23 |
14 |
$100.00 |
| 71046 |
Radiologic examination, chest; 2 views |
20 |
16 |
$95.01 |
| 90756 |
|
13 |
13 |
$68.37 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
17 |
13 |
$5.59 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
20 |
15 |
$1.00 |
| 3077F |
|
15 |
13 |
$0.00 |
| 3078F |
|
136 |
113 |
$0.00 |
| 3074F |
|
94 |
77 |
$0.00 |
| 3079F |
|
97 |
75 |
$0.00 |
| 3075F |
|
71 |
55 |
$0.00 |
| 99406 |
|
121 |
97 |
$0.00 |