| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99232 |
Subsequent hospital care, per day, moderate complexity |
794 |
144 |
$33K |
| 99233 |
Prolong inpt eval add15 m |
498 |
100 |
$20K |
| 99223 |
Prolong inpt eval add15 m |
111 |
107 |
$16K |
| 99401 |
|
141 |
141 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
493 |
468 |
$0.00 |
| 98940 |
|
127 |
91 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$0.00 |
| 3077F |
|
208 |
204 |
$0.00 |
| 92552 |
|
48 |
48 |
$0.00 |
| 99173 |
|
97 |
95 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
125 |
125 |
$0.00 |
| 97803 |
|
75 |
75 |
$0.00 |
| 81002 |
|
46 |
46 |
$0.00 |
| 82947 |
|
20 |
20 |
$0.00 |
| 3078F |
|
100 |
100 |
$0.00 |
| 88147 |
|
39 |
39 |
$0.00 |
| 81025 |
|
50 |
49 |
$0.00 |
| 83037 |
|
35 |
35 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
55 |
52 |
$0.00 |
| 3079F |
|
70 |
70 |
$0.00 |
| 85018 |
|
78 |
78 |
$0.00 |
| 3080F |
|
98 |
98 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
191 |
186 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,704 |
3,350 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
41 |
36 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
141 |
141 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
66 |
66 |
$0.00 |
| 90686 |
|
46 |
46 |
$0.00 |
| 90674 |
|
56 |
56 |
$0.00 |
| 3044F |
|
18 |
18 |
$0.00 |
| 3075F |
|
19 |
19 |
$0.00 |
| 3074F |
|
31 |
31 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$0.00 |