| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,896 |
2,676 |
$146K |
| 99233 |
Prolong inpt eval add15 m |
2,340 |
641 |
$114K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
242 |
137 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
227 |
222 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
134 |
126 |
$8K |
| 99254 |
|
43 |
43 |
$2K |
| 93880 |
|
12 |
12 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
18 |
16 |
$1K |
| 77001 |
|
30 |
24 |
$447.45 |
| 99443 |
|
15 |
15 |
$343.22 |
| 76937 |
|
33 |
27 |
$276.11 |
| 99442 |
|
15 |
15 |
$234.76 |
| 1159F |
|
60 |
59 |
$0.00 |
| 3078F |
|
38 |
38 |
$0.00 |
| 4010F |
|
29 |
28 |
$0.00 |
| 3074F |
|
12 |
12 |
$0.00 |