| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,126 |
2,649 |
$161K |
| 99233 |
Prolong inpt eval add15 m |
3,703 |
983 |
$108K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
5,370 |
655 |
$87K |
| 99336 |
|
1,490 |
1,283 |
$68K |
| 99223 |
Prolong inpt eval add15 m |
810 |
580 |
$40K |
| 99349 |
|
291 |
254 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
390 |
319 |
$11K |
| 99254 |
|
163 |
95 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
113 |
103 |
$6K |
| 99337 |
|
54 |
50 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
61 |
49 |
$2K |
| Q3014 |
Telehealth originating site facility fee |
176 |
131 |
$2K |
| 99215 |
Prolong outpt/office vis |
15 |
13 |
$996.04 |
| 0001A |
|
60 |
56 |
$948.20 |
| 99335 |
|
20 |
18 |
$690.22 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
52 |
38 |
$402.51 |
| 99334 |
|
14 |
14 |
$305.18 |
| 99406 |
|
16 |
12 |
$94.16 |
| 0011A |
|
101 |
88 |
$0.00 |
| 91301 |
|
110 |
109 |
$0.00 |
| 0012A |
|
24 |
22 |
$0.00 |
| 0031A |
|
43 |
28 |
$0.00 |
| 91303 |
|
43 |
28 |
$0.00 |
| 90756 |
|
20 |
12 |
$0.00 |
| 91300 |
|
87 |
83 |
$0.00 |
| 0002A |
|
26 |
26 |
$0.00 |