| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,159 |
7,215 |
$376K |
| 99233 |
Prolong inpt eval add15 m |
6,232 |
1,368 |
$266K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,517 |
1,220 |
$85K |
| 90961 |
|
2,608 |
2,450 |
$74K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,301 |
1,162 |
$64K |
| 99205 |
Prolong outpt/office vis |
232 |
215 |
$31K |
| 99223 |
Prolong inpt eval add15 m |
201 |
165 |
$7K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
212 |
58 |
$5K |
| 99406 |
|
741 |
640 |
$2K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
131 |
49 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
21 |
20 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
16 |
14 |
$2K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$721.36 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$449.85 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$251.10 |
| 99408 |
|
12 |
12 |
$0.00 |