| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,751 |
2,441 |
$231K |
| 99233 |
Prolong inpt eval add15 m |
841 |
312 |
$35K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
105 |
105 |
$14K |
| 99223 |
Prolong inpt eval add15 m |
60 |
59 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
39 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
189 |
189 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
239 |
235 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51 |
51 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
41 |
41 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12 |
12 |
$619.18 |
| 36415 |
Collection of venous blood by venipuncture |
35 |
33 |
$84.47 |
| 99051 |
|
13 |
13 |
$81.12 |