| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
125 |
52 |
$8K |
| 99215 |
Prolong outpt/office vis |
90 |
86 |
$3K |
| 99292 |
|
53 |
19 |
$3K |
| 99443 |
|
95 |
88 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
61 |
54 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
36 |
27 |
$979.09 |
| 99442 |
|
92 |
79 |
$651.87 |
| 94664 |
|
159 |
148 |
$548.23 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$244.84 |
| 99406 |
|
33 |
29 |
$28.72 |
| G8482 |
Influenza immunization administered or previously received |
55 |
47 |
$0.00 |