| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,674 |
5,136 |
$345K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,547 |
1,295 |
$62K |
| 99233 |
Prolong inpt eval add15 m |
264 |
114 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
276 |
267 |
$8K |
| 99442 |
|
177 |
144 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
439 |
134 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
212 |
190 |
$5K |
| 90674 |
|
195 |
195 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
166 |
161 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
14 |
12 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
138 |
138 |
$1K |
| 90756 |
|
71 |
71 |
$911.58 |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
13 |
$527.54 |
| 90686 |
|
33 |
32 |
$517.81 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$74.57 |
| 82947 |
|
13 |
13 |
$36.64 |
| 90653 |
|
12 |
12 |
$0.00 |