| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,880 |
2,168 |
$85K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,609 |
1,314 |
$74K |
| 99215 |
Prolong outpt/office vis |
165 |
147 |
$9K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
30 |
25 |
$2K |
| 90686 |
|
256 |
241 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
34 |
28 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
292 |
269 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
228 |
211 |
$1K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
295 |
256 |
$1K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
17 |
12 |
$889.76 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
41 |
12 |
$407.26 |