| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
115 |
115 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
82 |
39 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
12 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$922.10 |
| 99221 |
|
15 |
15 |
$697.56 |
| 1159F |
|
303 |
291 |
$0.00 |
| 1160F |
|
258 |
247 |
$0.00 |
| 3008F |
|
411 |
396 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
168 |
163 |
$0.00 |