| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,631 |
6,341 |
$356K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,416 |
5,405 |
$211K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
623 |
536 |
$41K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
6,463 |
1,892 |
$38K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
5,674 |
1,916 |
$32K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
623 |
456 |
$31K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
808 |
103 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
382 |
275 |
$17K |
| 99233 |
Prolong inpt eval add15 m |
348 |
68 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
150 |
109 |
$6K |
| 99310 |
Prolong nursin fac eval 15m |
314 |
170 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
170 |
130 |
$3K |
| 99497 |
|
450 |
245 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,059 |
908 |
$2K |
| 90656 |
|
125 |
99 |
$2K |
| 81025 |
|
444 |
249 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
133 |
110 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
30 |
16 |
$1K |
| 81003 |
|
832 |
554 |
$1K |
| 99386 |
|
16 |
12 |
$809.73 |
| 99490 |
Ccm add 20min |
83 |
80 |
$660.82 |
| 99306 |
Prolong nursin fac eval 15m |
18 |
14 |
$599.72 |
| 90756 |
|
37 |
26 |
$597.98 |
| 99318 |
|
211 |
102 |
$304.60 |
| 90686 |
|
13 |
13 |
$228.36 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
101 |
42 |
$195.00 |
| 99406 |
|
39 |
26 |
$56.76 |
| 96127 |
|
25 |
18 |
$12.50 |
| 3079F |
|
4,794 |
3,596 |
$0.00 |
| 3080F |
|
1,471 |
1,166 |
$0.00 |
| 1036F |
|
13,345 |
6,623 |
$0.00 |
| 3008F |
|
11,373 |
8,334 |
$0.00 |
| 3075F |
|
3,956 |
2,856 |
$0.00 |
| 1126F |
|
726 |
516 |
$0.00 |
| 3074F |
|
8,553 |
5,468 |
$0.00 |
| 1034F |
|
1,622 |
979 |
$0.00 |
| 4037F |
|
45 |
40 |
$0.00 |
| 1125F |
|
310 |
219 |
$0.00 |
| 1159F |
|
13,421 |
8,894 |
$0.00 |
| 1160F |
|
15,150 |
9,854 |
$0.00 |
| 3077F |
|
3,280 |
2,186 |
$0.00 |
| 3078F |
|
8,482 |
4,919 |
$0.00 |
| 3725F |
|
23 |
19 |
$0.00 |