| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,918 |
3,129 |
$167K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,944 |
1,693 |
$117K |
| 99233 |
Prolong inpt eval add15 m |
224 |
125 |
$10K |
| 99223 |
Prolong inpt eval add15 m |
109 |
106 |
$10K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
298 |
157 |
$10K |
| 90686 |
|
306 |
252 |
$5K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
70 |
68 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$832.22 |
| 99215 |
Prolong outpt/office vis |
15 |
14 |
$555.21 |
| 99443 |
|
12 |
12 |
$327.78 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
27 |
22 |
$287.94 |
| 99406 |
|
35 |
28 |
$237.27 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
17 |
12 |
$124.60 |
| 81003 |
|
50 |
40 |
$105.12 |
| 81002 |
|
12 |
12 |
$28.70 |
| 36415 |
Collection of venous blood by venipuncture |
336 |
269 |
$12.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
80 |
61 |
$0.00 |