| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
7,485 |
7,378 |
$520K |
| 99233 |
Prolong inpt eval add15 m |
2,570 |
677 |
$149K |
| 99205 |
Prolong outpt/office vis |
840 |
836 |
$75K |
| 94010 |
|
3,704 |
3,673 |
$66K |
| 99221 |
|
1,142 |
404 |
$44K |
| 99223 |
Prolong inpt eval add15 m |
444 |
403 |
$40K |
| 99417 |
Prolong home eval add 15m |
576 |
564 |
$22K |
| 99255 |
|
166 |
162 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
335 |
330 |
$12K |
| 99356 |
|
301 |
112 |
$9K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
129 |
51 |
$6K |
| 99245 |
|
53 |
53 |
$6K |
| Z4306 |
|
131 |
129 |
$4K |
| 99418 |
Prolong nursin fac eval 15m |
55 |
15 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
26 |
13 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
40 |
$2K |
| Z4303 |
|
44 |
43 |
$1K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
14 |
14 |
$824.73 |
| 99354 |
|
16 |
16 |
$171.18 |
| 95012 |
|
14 |
14 |
$73.66 |