| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,878 |
2,135 |
$181K |
| 99233 |
Prolong inpt eval add15 m |
2,150 |
1,017 |
$135K |
| 99223 |
Prolong inpt eval add15 m |
1,166 |
1,128 |
$99K |
| 99222 |
Initial hospital care, per day, moderate complexity |
332 |
325 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
409 |
340 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
206 |
182 |
$5K |
| 99215 |
Prolong outpt/office vis |
50 |
46 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
13 |
$491.94 |