| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,513 |
7,220 |
$340K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,058 |
3,873 |
$125K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
473 |
201 |
$10K |
| 99233 |
Prolong inpt eval add15 m |
210 |
87 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
124 |
124 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
41 |
39 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
214 |
145 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
34 |
27 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 90686 |
|
112 |
112 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
24 |
24 |
$823.67 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$808.37 |
| 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) |
194 |
186 |
$241.33 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| G9920 |
Screening performed and negative |
120 |
120 |
$0.00 |