| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99460 |
|
5,317 |
5,131 |
$282K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
5,387 |
5,199 |
$179K |
| 99462 |
|
4,539 |
3,989 |
$115K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,345 |
1,258 |
$68K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,777 |
1,580 |
$64K |
| 99255 |
|
323 |
319 |
$46K |
| 99223 |
Prolong inpt eval add15 m |
85 |
81 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
14 |
14 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
90 |
84 |
$977.50 |
| 90686 |
|
14 |
12 |
$12.52 |