| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
2,438 |
651 |
$67K |
| 99215 |
Prolong outpt/office vis |
1,320 |
1,305 |
$41K |
| 99205 |
Prolong outpt/office vis |
503 |
503 |
$25K |
| 99255 |
|
281 |
275 |
$23K |
| 94200 |
|
2,553 |
2,523 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
704 |
700 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
317 |
316 |
$8K |
| 94010 |
|
535 |
535 |
$8K |
| 95800 |
|
293 |
290 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
638 |
638 |
$7K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
494 |
118 |
$7K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
31 |
31 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
51 |
49 |
$2K |
| 95811 |
|
12 |
12 |
$1K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
12 |
12 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$391.67 |
| 90688 |
|
26 |
26 |
$252.17 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$85.24 |
| 99406 |
|
27 |
26 |
$58.41 |
| 94760 |
|
3,388 |
3,342 |
$47.32 |
| G0399 |
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation |
86 |
86 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |