| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,088 |
9,101 |
$426K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,690 |
7,386 |
$347K |
| 99233 |
Prolong inpt eval add15 m |
4,100 |
1,256 |
$99K |
| 99223 |
Prolong inpt eval add15 m |
808 |
726 |
$45K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
526 |
493 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
157 |
151 |
$10K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
600 |
172 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
502 |
483 |
$7K |
| 99220 |
|
68 |
63 |
$5K |
| 92551 |
|
431 |
426 |
$3K |
| 87428 |
|
133 |
103 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
41 |
40 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
134 |
130 |
$2K |
| 99219 |
|
27 |
27 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
76 |
63 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$1K |
| 99225 |
|
55 |
25 |
$993.42 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,525 |
1,245 |
$824.66 |
| 99173 |
|
429 |
425 |
$718.81 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,269 |
2,756 |
$344.42 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,389 |
1,145 |
$153.58 |
| 90473 |
|
12 |
12 |
$129.34 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
26 |
25 |
$62.20 |
| 81003 |
|
55 |
41 |
$42.56 |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
147 |
85 |
$22.44 |
| 90660 |
|
20 |
20 |
$0.00 |
| 99217 |
|
49 |
48 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
13 |
13 |
$0.00 |
| 96160 |
|
43 |
39 |
$0.00 |
| 90734 |
|
14 |
13 |
$0.00 |