| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,926 |
3,567 |
$146K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
983 |
956 |
$49K |
| 99222 |
Initial hospital care, per day, moderate complexity |
427 |
407 |
$36K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
636 |
343 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
96 |
96 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
80 |
79 |
$7K |
| 99349 |
|
213 |
196 |
$5K |
| 99335 |
|
237 |
223 |
$2K |
| 93000 |
|
111 |
110 |
$1K |
| H0049 |
Alcohol and/or drug screening |
39 |
39 |
$655.20 |
| 90688 |
|
26 |
26 |
$467.27 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
27 |
$178.32 |
| 99406 |
|
14 |
13 |
$140.00 |
| 96127 |
|
40 |
40 |
$112.32 |