| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,013 |
2,681 |
$172K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
103 |
89 |
$42K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,031 |
911 |
$36K |
| 51798 |
|
1,616 |
1,482 |
$20K |
| 81002 |
|
7,386 |
6,540 |
$18K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,091 |
511 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
78 |
75 |
$8K |
| 87640 |
|
100 |
89 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
27 |
$2K |
| 87653 |
|
100 |
89 |
$2K |
| 87481 |
|
103 |
89 |
$1K |
| 99221 |
|
55 |
47 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
18 |
12 |
$371.25 |
| A4402 |
Lubricant, per ounce |
399 |
366 |
$158.47 |
| 99000 |
|
32 |
24 |
$0.00 |