| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
2,389 |
517 |
$172K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
836 |
705 |
$55K |
| 99222 |
Initial hospital care, per day, moderate complexity |
469 |
405 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
275 |
249 |
$17K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
412 |
88 |
$16K |
| 99205 |
Prolong outpt/office vis |
129 |
123 |
$14K |
| 99223 |
Prolong inpt eval add15 m |
107 |
92 |
$14K |
| 99221 |
|
35 |
31 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
68 |
64 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
37 |
25 |
$138.53 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
41 |
26 |
$111.10 |
| J0741 |
Injection, cabotegravir and rilpivirine, 2mg/3mg |
23 |
20 |
$0.06 |