| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99497 |
|
2,323 |
2,217 |
$130K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
953 |
345 |
$102K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,224 |
1,171 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,856 |
3,666 |
$21K |
| 99458 |
|
526 |
526 |
$10K |
| 99454 |
|
623 |
623 |
$9K |
| 99457 |
|
606 |
606 |
$8K |
| 99233 |
Prolong inpt eval add15 m |
304 |
82 |
$7K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,271 |
1,213 |
$7K |
| 90756 |
|
310 |
310 |
$5K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
291 |
291 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
97 |
96 |
$3K |
| 90688 |
|
103 |
103 |
$1K |
| 90658 |
|
27 |
27 |
$621.80 |
| 99496 |
|
14 |
14 |
$587.73 |
| 99453 |
|
25 |
25 |
$222.58 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
54 |
54 |
$84.37 |
| 3074F |
|
93 |
91 |
$0.00 |
| 3044F |
|
13 |
13 |
$0.00 |
| 3079F |
|
62 |
60 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
107 |
107 |
$0.00 |
| 90686 |
|
13 |
13 |
$0.00 |
| 3078F |
|
80 |
79 |
$0.00 |