| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,595 |
5,892 |
$490K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,857 |
2,624 |
$314K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,965 |
1,892 |
$307K |
| 51728 |
|
769 |
731 |
$240K |
| 51600 |
|
706 |
667 |
$75K |
| 51741 |
|
3,369 |
3,126 |
$39K |
| 51784 |
|
775 |
731 |
$30K |
| 76000 |
|
664 |
617 |
$26K |
| 51798 |
|
2,052 |
1,979 |
$23K |
| 52000 |
|
78 |
72 |
$18K |
| 99223 |
Prolong inpt eval add15 m |
99 |
96 |
$15K |
| 51797 |
|
83 |
77 |
$10K |
| J9217 |
Leuprolide acetate (for depot suspension), 7.5 mg |
13 |
13 |
$7K |
| 51701 |
|
103 |
98 |
$4K |
| 52281 |
|
15 |
13 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$2K |
| 99443 |
|
17 |
15 |
$967.44 |
| 96402 |
|
13 |
13 |
$481.55 |