| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,631 |
4,476 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,619 |
2,538 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$925.78 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
53 |
51 |
$779.43 |
| 90658 |
|
51 |
51 |
$681.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
134 |
132 |
$628.34 |
| 90732 |
|
25 |
25 |
$508.28 |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
13 |
$141.92 |
| 93000 |
|
14 |
14 |
$95.34 |
| 90756 |
|
170 |
170 |
$63.28 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
16 |
$54.30 |
| 99429 |
|
111 |
100 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
98 |
98 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
406 |
405 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
65 |
65 |
$0.00 |