| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
144 |
107 |
$453.04 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
45 |
32 |
$405.00 |
| 96160 |
|
12 |
12 |
$360.00 |
| 99222 |
Initial hospital care, per day, moderate complexity |
112 |
110 |
$196.84 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,986 |
2,613 |
$90.86 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
94 |
93 |
$52.15 |
| 1160F |
|
141 |
128 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
26 |
$0.00 |
| 4035F |
|
48 |
45 |
$0.00 |
| 3078F |
|
546 |
485 |
$0.00 |
| 1159F |
|
141 |
128 |
$0.00 |
| 3725F |
|
26 |
21 |
$0.00 |
| 1158F |
|
140 |
127 |
$0.00 |
| 3288F |
|
70 |
62 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
14 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
19 |
16 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
29 |
27 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
957 |
767 |
$0.00 |
| 3074F |
|
546 |
486 |
$0.00 |
| 1170F |
|
140 |
127 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
38 |
38 |
$0.00 |
| 3072F |
|
53 |
47 |
$0.00 |
| 96127 |
|
99 |
89 |
$0.00 |
| 1126F |
|
138 |
125 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
162 |
151 |
$0.00 |
| 3048F |
|
58 |
57 |
$0.00 |
| 3008F |
|
136 |
123 |
$0.00 |
| 1157F |
|
135 |
124 |
$0.00 |