| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,961 |
6,459 |
$398K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,080 |
2,868 |
$226K |
| 99222 |
Initial hospital care, per day, moderate complexity |
531 |
524 |
$40K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
757 |
383 |
$30K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
358 |
304 |
$3K |
| 99253 |
|
53 |
52 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
37 |
37 |
$3K |
| 90756 |
|
70 |
70 |
$2K |
| 82947 |
|
590 |
545 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
121 |
121 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$895.78 |
| 90688 |
|
28 |
28 |
$455.47 |
| 90686 |
|
14 |
14 |
$283.92 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
28 |
25 |
$39.79 |
| 94760 |
|
13 |
13 |
$0.00 |