| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,955 |
3,558 |
$214K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,336 |
1,297 |
$108K |
| 99222 |
Initial hospital care, per day, moderate complexity |
717 |
687 |
$65K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
668 |
668 |
$57K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
364 |
226 |
$18K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
199 |
199 |
$16K |
| 99233 |
Prolong inpt eval add15 m |
57 |
54 |
$5K |
| 90682 |
|
56 |
56 |
$4K |
| 96127 |
|
831 |
830 |
$3K |
| H0049 |
Alcohol and/or drug screening |
133 |
133 |
$2K |
| 99408 |
|
701 |
698 |
$1K |
| 90673 |
|
15 |
15 |
$876.60 |
| 93000 |
|
51 |
51 |
$578.18 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
88 |
88 |
$543.31 |
| 90688 |
|
14 |
14 |
$277.04 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
41 |
41 |
$0.00 |