| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,400 |
1,383 |
$130K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,685 |
1,646 |
$110K |
| 99233 |
Prolong inpt eval add15 m |
590 |
195 |
$48K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
523 |
177 |
$31K |
| 99223 |
Prolong inpt eval add15 m |
48 |
47 |
$5K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12 |
12 |
$711.68 |
| 95251 |
|
14 |
14 |
$336.62 |
| 90686 |
|
15 |
15 |
$276.55 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$262.65 |