| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,452 |
3,226 |
$366K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,587 |
3,428 |
$245K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
6,112 |
1,645 |
$241K |
| 99233 |
Prolong inpt eval add15 m |
2,184 |
1,152 |
$85K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,529 |
1,132 |
$75K |
| 99223 |
Prolong inpt eval add15 m |
1,018 |
994 |
$72K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
10,497 |
9,356 |
$70K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,052 |
1,007 |
$47K |
| 99222 |
Initial hospital care, per day, moderate complexity |
192 |
184 |
$13K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
316 |
303 |
$13K |
| 99205 |
Prolong outpt/office vis |
46 |
40 |
$8K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
159 |
71 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
127 |
114 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
13 |
13 |
$3K |
| 90715 |
|
54 |
54 |
$2K |
| 93000 |
|
99 |
92 |
$1K |
| 90686 |
|
346 |
333 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
45 |
43 |
$853.80 |
| 51798 |
|
29 |
28 |
$284.37 |
| 93016 |
|
12 |
12 |
$253.23 |
| 93018 |
|
12 |
12 |
$181.14 |
| 81002 |
|
18 |
18 |
$43.35 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$39.68 |
| 81025 |
|
12 |
12 |
$22.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 3008F |
|
1,081 |
1,021 |
$0.00 |
| 90656 |
|
73 |
73 |
$0.00 |
| 90697 |
|
133 |
130 |
$0.00 |
| 90677 |
|
142 |
138 |
$0.00 |
| 90680 |
|
61 |
59 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
12 |
$0.00 |
| 90688 |
|
13 |
13 |
$0.00 |