| Code | Description | Claims | Beneficiaries | Total Paid |
| 99223 |
Prolong inpt eval add15 m |
1,048 |
1,003 |
$199K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,075 |
1,029 |
$31K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,853 |
767 |
$25K |
| 99233 |
Prolong inpt eval add15 m |
869 |
486 |
$19K |
| 99215 |
Prolong outpt/office vis |
112 |
112 |
$283.15 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
153 |
153 |
$232.61 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
345 |
336 |
$223.54 |
| 82950 |
|
169 |
158 |
$24.94 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
92 |
92 |
$0.04 |
| 3078F |
|
481 |
467 |
$0.00 |
| 1160F |
|
859 |
827 |
$0.00 |
| 3288F |
|
451 |
444 |
$0.00 |
| 1159F |
|
857 |
825 |
$0.00 |
| 3077F |
|
95 |
93 |
$0.00 |
| 1157F |
|
271 |
271 |
$0.00 |
| 1126F |
|
674 |
652 |
$0.00 |
| 1170F |
|
530 |
510 |
$0.00 |
| 3074F |
|
353 |
344 |
$0.00 |
| 3079F |
|
55 |
54 |
$0.00 |
| 1125F |
|
93 |
91 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |