| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,404 |
1,277 |
$292K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,052 |
560 |
$51K |
| 59425 |
|
349 |
228 |
$27K |
| 99233 |
Prolong inpt eval add15 m |
1,156 |
594 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,006 |
905 |
$20K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
927 |
509 |
$15K |
| 99223 |
Prolong inpt eval add15 m |
410 |
404 |
$12K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
477 |
466 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
55 |
55 |
$7K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
730 |
286 |
$7K |
| 92552 |
|
120 |
120 |
$7K |
| 99215 |
Prolong outpt/office vis |
127 |
108 |
$4K |
| 99221 |
|
212 |
204 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
134 |
131 |
$3K |
| 82962 |
|
13 |
12 |
$2K |
| 80061 |
Lipid panel |
13 |
13 |
$2K |
| 95813 |
|
13 |
13 |
$950.53 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
41 |
39 |
$938.71 |
| 99000 |
|
25 |
24 |
$465.00 |
| 86580 |
|
12 |
12 |
$275.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
211 |
117 |
$270.00 |
| 99254 |
|
12 |
12 |
$260.04 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
13 |
$251.74 |
| 99173 |
|
116 |
116 |
$194.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
47 |
37 |
$161.43 |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
12 |
$145.67 |
| 99306 |
Prolong nursin fac eval 15m |
13 |
12 |
$72.10 |
| 99490 |
Ccm add 20min |
13 |
13 |
$33.29 |