| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,938 |
11,161 |
$901K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,072 |
3,770 |
$216K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
457 |
432 |
$59K |
| 95251 |
|
701 |
663 |
$21K |
| 99223 |
Prolong inpt eval add15 m |
179 |
168 |
$18K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
410 |
373 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
127 |
120 |
$11K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,601 |
1,556 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
101 |
95 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
42 |
39 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
96 |
88 |
$3K |
| 99205 |
Prolong outpt/office vis |
15 |
15 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
59 |
16 |
$607.68 |
| 90461 |
|
169 |
161 |
$289.98 |
| 92551 |
|
22 |
22 |
$145.16 |
| 90474 |
|
13 |
13 |
$138.72 |
| 85018 |
|
13 |
12 |
$21.00 |
| 90670 |
|
43 |
42 |
$0.00 |
| 99173 |
|
15 |
15 |
$0.00 |
| 90686 |
|
74 |
71 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |