| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,199 |
5,609 |
$203K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,198 |
3,089 |
$173K |
| 73630 |
|
4,341 |
3,185 |
$71K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,026 |
943 |
$49K |
| 11056 |
|
3,455 |
3,125 |
$44K |
| 11721 |
|
3,711 |
3,340 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
277 |
268 |
$21K |
| 93922 |
|
535 |
478 |
$10K |
| 95923 |
|
363 |
321 |
$9K |
| 11750 |
|
70 |
57 |
$5K |
| 20550 |
|
164 |
136 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
57 |
30 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
193 |
82 |
$3K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
12 |
12 |
$3K |
| 11720 |
|
1,336 |
1,177 |
$2K |
| 93923 |
|
79 |
71 |
$2K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
12 |
12 |
$2K |
| 87481 |
|
12 |
12 |
$2K |
| 11057 |
|
243 |
219 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
41 |
$1K |
| 11104 |
|
20 |
19 |
$967.17 |
| 11755 |
|
15 |
15 |
$625.46 |
| 76942 |
|
16 |
13 |
$564.96 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
12 |
$444.02 |
| 87653 |
|
12 |
12 |
$419.40 |
| 87641 |
|
12 |
12 |
$419.40 |
| 87640 |
|
12 |
12 |
$419.40 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$419.40 |
| 87500 |
|
12 |
12 |
$419.40 |
| 11719 |
|
1,192 |
1,051 |
$410.92 |
| 11105 |
|
20 |
19 |
$375.39 |
| 11055 |
|
79 |
75 |
$250.97 |
| J3415 |
Injection, pyridoxine hcl, 100 mg |
26 |
12 |
$63.44 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
26 |
12 |
$4.52 |
| 97750 |
|
24 |
22 |
$0.00 |
| J3411 |
Injection, thiamine hcl, 100 mg |
24 |
12 |
$0.00 |