| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,259 |
1,040 |
$44K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,893 |
1,485 |
$29K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
247 |
232 |
$24K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,794 |
536 |
$19K |
| 99223 |
Prolong inpt eval add15 m |
702 |
487 |
$14K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,399 |
858 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
69 |
67 |
$7K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
611 |
434 |
$5K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
299 |
205 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
165 |
71 |
$2K |
| 99385 |
|
31 |
25 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 99397 |
|
15 |
12 |
$1K |
| 3074F |
|
194 |
158 |
$250.00 |
| 36415 |
Collection of venous blood by venipuncture |
77 |
65 |
$173.00 |
| 93000 |
|
13 |
13 |
$142.03 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
13 |
$23.63 |
| 3008F |
|
352 |
283 |
$0.00 |
| 3078F |
|
216 |
167 |
$0.00 |