| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,447 |
3,883 |
$80K |
| 94729 |
|
388 |
352 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
475 |
412 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
174 |
94 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
62 |
26 |
$1K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
20 |
12 |
$1K |
| 94010 |
|
122 |
111 |
$1K |
| 94727 |
|
96 |
87 |
$847.99 |
| 0012A |
|
60 |
58 |
$602.83 |
| 94060 |
|
35 |
28 |
$411.78 |
| 99490 |
Ccm add 20min |
2,558 |
2,435 |
$374.20 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$333.00 |
| 0011A |
|
63 |
62 |
$318.58 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43 |
39 |
$231.72 |
| 0013A |
|
17 |
14 |
$120.00 |
| 99439 |
|
120 |
117 |
$0.00 |
| 91301 |
|
144 |
141 |
$0.00 |
| 99406 |
|
16 |
12 |
$0.00 |