| Code | Description | Claims | Beneficiaries | Total Paid |
| 99254 |
|
3,157 |
2,842 |
$292K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
9,677 |
4,614 |
$251K |
| 99223 |
Prolong inpt eval add15 m |
2,139 |
1,888 |
$135K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
7,093 |
3,166 |
$134K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,160 |
3,728 |
$122K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,231 |
1,032 |
$25K |
| 99442 |
|
361 |
310 |
$11K |
| 99222 |
Initial hospital care, per day, moderate complexity |
19 |
19 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
318 |
299 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
21 |
17 |
$478.45 |
| 90688 |
|
54 |
49 |
$365.70 |
| 90674 |
|
19 |
16 |
$265.80 |
| 90756 |
|
15 |
14 |
$205.69 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$190.50 |
| 90661 |
|
13 |
12 |
$144.68 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
225 |
193 |
$67.33 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
30 |
27 |
$0.00 |