| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,522 |
1,306 |
$97K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
704 |
580 |
$65K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
632 |
548 |
$41K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
431 |
110 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
177 |
149 |
$15K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
157 |
134 |
$11K |
| 99233 |
Prolong inpt eval add15 m |
70 |
33 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
12 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
25 |
$2K |
| 80305 |
|
40 |
37 |
$359.20 |
| 96127 |
|
28 |
26 |
$270.60 |