| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,454 |
2,158 |
$96K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
27 |
25 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
13 |
$883.30 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
24 |
24 |
$833.86 |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$716.64 |
| 90686 |
|
42 |
42 |
$599.75 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
43 |
43 |
$459.21 |