| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,854 |
7,041 |
$613K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,015 |
3,431 |
$178K |
| 99233 |
Prolong inpt eval add15 m |
731 |
201 |
$35K |
| 99223 |
Prolong inpt eval add15 m |
356 |
315 |
$34K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,243 |
370 |
$22K |
| 99215 |
Prolong outpt/office vis |
421 |
307 |
$20K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
395 |
369 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
211 |
169 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
134 |
133 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
119 |
113 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
96 |
66 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
144 |
127 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
187 |
160 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
74 |
74 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
70 |
67 |
$6K |
| 90688 |
|
266 |
237 |
$3K |
| 90686 |
|
150 |
107 |
$3K |
| 90734 |
|
48 |
48 |
$2K |
| 90651 |
|
28 |
25 |
$1K |
| 99220 |
|
13 |
12 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$1K |
| 0001A |
|
38 |
21 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
65 |
62 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
54 |
48 |
$878.05 |
| 0002A |
|
21 |
21 |
$840.00 |
| 99460 |
|
14 |
14 |
$815.88 |
| 90670 |
|
89 |
70 |
$803.68 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
29 |
18 |
$738.28 |
| 80305 |
|
71 |
59 |
$630.85 |
| 90715 |
|
36 |
35 |
$554.49 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
15 |
$537.60 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
19 |
17 |
$204.07 |
| 90680 |
|
14 |
12 |
$146.84 |
| 81003 |
|
17 |
17 |
$37.61 |
| 1160F |
|
270 |
243 |
$1.46 |
| 3074F |
|
152 |
144 |
$0.88 |
| 3078F |
|
155 |
148 |
$0.88 |
| 3079F |
|
25 |
23 |
$0.14 |
| 3075F |
|
20 |
20 |
$0.13 |
| 3008F |
|
213 |
200 |
$0.00 |
| 1036F |
|
222 |
198 |
$0.00 |