| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
616 |
98 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
349 |
329 |
$8K |
| 99223 |
Prolong inpt eval add15 m |
186 |
178 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
144 |
144 |
$6K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
84 |
15 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
35 |
35 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
109 |
109 |
$2K |
| 93970 |
|
16 |
16 |
$1K |
| 99255 |
|
16 |
16 |
$1K |
| 99205 |
Prolong outpt/office vis |
24 |
24 |
$1K |
| 93925 |
|
36 |
29 |
$973.15 |
| 99072 |
|
41 |
41 |
$0.00 |