| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,115 |
5,979 |
$1.15M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,864 |
4,725 |
$594K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
836 |
349 |
$100K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
620 |
613 |
$70K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
188 |
188 |
$51K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
982 |
978 |
$38K |
| 99222 |
Initial hospital care, per day, moderate complexity |
80 |
80 |
$16K |
| 96127 |
|
2,128 |
2,123 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
96 |
96 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
92 |
92 |
$14K |
| 99223 |
Prolong inpt eval add15 m |
37 |
37 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
1,432 |
1,406 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
24 |
$5K |
| 99220 |
|
18 |
18 |
$4K |
| 99217 |
|
31 |
29 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
14 |
14 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
65 |
65 |
$1K |
| 90682 |
|
13 |
13 |
$851.37 |
| 90686 |
|
159 |
159 |
$542.86 |
| 90688 |
|
86 |
86 |
$424.16 |
| 90756 |
|
18 |
18 |
$412.78 |
| 81025 |
|
14 |
13 |
$107.24 |
| 81003 |
|
29 |
29 |
$61.91 |
| 96160 |
|
1,033 |
1,033 |
$0.00 |
| 90670 |
|
24 |
24 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |