| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,555 |
1,467 |
$84K |
| 99233 |
Prolong inpt eval add15 m |
508 |
228 |
$26K |
| 99215 |
Prolong outpt/office vis |
126 |
118 |
$9K |
| 99223 |
Prolong inpt eval add15 m |
80 |
77 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
147 |
77 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
44 |
43 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25 |
24 |
$885.50 |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
13 |
$669.85 |
| G0008 |
Administration of influenza virus vaccine |
27 |
27 |
$165.00 |
| 3048F |
|
29 |
26 |
$0.00 |
| 3061F |
|
13 |
13 |
$0.00 |
| 3079F |
|
30 |
30 |
$0.00 |
| 3288F |
|
58 |
57 |
$0.00 |