| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,486 |
671 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
511 |
339 |
$18K |
| 99491 |
Ccm add 20min |
101 |
101 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
33 |
31 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
65 |
27 |
$738.26 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
133 |
105 |
$235.25 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
14 |
13 |
$218.49 |
| 90750 |
|
14 |
13 |
$76.70 |
| 90632 |
|
22 |
22 |
$75.36 |
| 36415 |
Collection of venous blood by venipuncture |
86 |
80 |
$35.91 |
| 90674 |
|
26 |
26 |
$5.81 |
| 91320 |
|
13 |
13 |
$5.00 |
| 3078F |
|
481 |
219 |
$2.50 |
| 3074F |
|
368 |
176 |
$2.50 |
| 3077F |
|
41 |
27 |
$0.00 |
| 1160F |
|
997 |
400 |
$0.00 |
| 90679 |
|
16 |
16 |
$0.00 |
| 1159F |
|
1,001 |
400 |
$0.00 |
| 90746 |
|
58 |
57 |
$0.00 |
| 90661 |
|
40 |
39 |
$0.00 |
| 91322 |
|
34 |
34 |
$0.00 |
| G0010 |
Administration of hepatitis b vaccine |
57 |
56 |
$0.00 |
| 3075F |
|
134 |
78 |
$0.00 |
| 3044F |
|
28 |
26 |
$0.00 |
| 90480 |
|
48 |
47 |
$0.00 |
| 3079F |
|
76 |
38 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
51 |
50 |
$0.00 |