| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,751 |
577 |
$211K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
676 |
667 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
772 |
743 |
$41K |
| 99223 |
Prolong inpt eval add15 m |
123 |
122 |
$13K |
| 99233 |
Prolong inpt eval add15 m |
186 |
107 |
$11K |
| 90688 |
|
13 |
13 |
$219.42 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$86.10 |
| 99406 |
|
12 |
12 |
$59.76 |