| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,253 |
1,903 |
$110K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,384 |
1,171 |
$102K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
56 |
49 |
$4K |
| 90677 |
|
13 |
12 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19 |
13 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
17 |
12 |
$1K |
| 90686 |
|
93 |
77 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
26 |
12 |
$627.75 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
16 |
12 |
$452.74 |