| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,082 |
454 |
$128K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,204 |
1,181 |
$127K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,507 |
1,452 |
$108K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
851 |
838 |
$95K |
| 99222 |
Initial hospital care, per day, moderate complexity |
296 |
292 |
$61K |
| 99205 |
Prolong outpt/office vis |
34 |
34 |
$12K |
| 99223 |
Prolong inpt eval add15 m |
40 |
40 |
$11K |
| 99217 |
|
92 |
89 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
27 |
17 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
91 |
90 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
61 |
28 |
$4K |
| 99221 |
|
28 |
26 |
$4K |
| 99219 |
|
13 |
13 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| 90756 |
|
16 |
16 |
$394.03 |
| 96127 |
|
93 |
93 |
$355.19 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$261.75 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
32 |
28 |
$41.98 |
| 96160 |
|
14 |
14 |
$0.00 |