| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,958 |
2,176 |
$72K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
655 |
420 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
92 |
78 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
134 |
109 |
$6K |
| 20550 |
|
210 |
87 |
$5K |
| 97022 |
|
1,182 |
854 |
$3K |
| 29540 |
|
313 |
164 |
$3K |
| A6021 |
Collagen dressing, sterile, size 16 sq. in. or less, each |
75 |
42 |
$991.08 |
| 29581 |
|
14 |
12 |
$559.02 |
| 73630 |
|
16 |
12 |
$197.31 |
| A4550 |
Surgical trays |
21 |
14 |
$96.50 |
| 97035 |
|
29 |
17 |
$40.18 |