| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,992 |
4,142 |
$256K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,830 |
3,959 |
$140K |
| 99199 |
Unlisted special service, procedure or report |
11,213 |
10,682 |
$45K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
670 |
318 |
$12K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
315 |
247 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
159 |
58 |
$3K |
| 99215 |
Prolong outpt/office vis |
35 |
33 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
119 |
113 |
$758.36 |
| 90686 |
|
54 |
49 |
$386.85 |
| 90656 |
|
17 |
16 |
$234.60 |
| 94016 |
|
18 |
18 |
$24.55 |
| 3079F |
|
41 |
39 |
$0.00 |
| 3074F |
|
31 |
27 |
$0.00 |
| 3078F |
|
47 |
44 |
$0.00 |
| 3077F |
|
47 |
46 |
$0.00 |