| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
620 |
598 |
$49K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
810 |
750 |
$48K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
330 |
104 |
$15K |
| 99233 |
Prolong inpt eval add15 m |
102 |
39 |
$12K |
| 99215 |
Prolong outpt/office vis |
102 |
100 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
82 |
77 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
13 |
12 |
$2K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
27 |
26 |
$130.00 |
| 3074F |
|
12 |
12 |
$0.00 |